喉小囊囊肿9例临床特点及诊治分析Clinical features and management analysis of 9 cases of laryngeal saccular cysts
冀永进,董瑞,张艳廷,薛金梅
摘要(Abstract):
目的:总结喉小囊囊肿的临床特点及诊疗经验。方法:回顾性分析2018年11月至2025年6月山西医科大学第二医院耳鼻咽喉头颈外科收治的9例喉小囊囊肿患者的临床资料,其中男6例,女3例,年龄21~72岁,中位年龄52岁。患者术前行电子喉镜(9例)、喉CT(6例)和MRI(2例)检查。除1例患者未手术进行长期随访外,其余8例均全身麻醉下手术切除。采用描述性统计学方法分析其主要临床表现、病变分型、影像学结果、手术入路、并发症及随访结果。结果:9例喉小囊囊肿患者病变分型分为喉侧型(6例)、喉前型(3例)。主要临床表现为声嘶或发声不清者9例,咽异物感4例,咳嗽3例,吞咽不适2例。手术入路包括颈外入路(2例)和经口内镜入路(6例),全部患者手术顺利,术中无并发症发生。术后随访6~85个月,均无复发。结论:喉小囊囊肿临床罕见,临床表现缺乏特异性。术前电子喉镜及CT检查有助于评估病变的部位、范围,并指导手术入路选择。手术切除是治疗喉小囊囊肿唯一有效的方法。
关键词(KeyWords): 喉;喉小囊囊肿;诊断;治疗
基金项目(Foundation):
作者(Author): 冀永进,董瑞,张艳廷,薛金梅
DOI: 10.13201/j.issn.2096-7993.2026.10.011
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