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目的 :探讨小儿复发性呼吸道乳头状瘤病 (JORRP)的临床特点。方法 :回顾分折 1986年 6月~ 2 0 0 0年 6月收治的 JORRP 38例资料。结果 :平均发病年龄 2 .9岁 ,首次诊断平均年龄 3.5岁 ,平均手术 3.45次 ,术后并发喉功能障碍 8例 (2 1.0 5 % ) ,气管切开 19例 (5 0 .0 % ) ,6例气管造口有乳头状瘤传播 (31.5 8% )。结论 :JORRP是儿童最常见的喉部肿瘤 ,由于易复发 ,常需多次手术 ;手术应注意保存喉部正常组织 ;气管切开要慎重 ,以防病变局部接种和邻近器官传播
Objective: To investigate the clinical features of children with recurrent respiratory papillomatosis (JORRP). Methods: A retrospective analysis of 38 cases of JORRP admitted from June 1986 to June 2004. Results: The average age of onset was 2.9 years. The average age of the first diagnosis was 3.5 years. The mean operation time was 3.45. There were 8 cases (21.05%) with laryngeal dysfunction and 19 cases (50.0%) with tracheotomy. 6 cases of tracheostomy with papilloma (31.5 8%). Conclusion: JORRP is the most common laryngeal tumor in children. Due to the relapse, JORRP often requires multiple surgeries. Surgical care should be taken to preserve the normal tissues of the larynx. Tracheotomy should be carefully performed to prevent local inoculation of lesions and spread of adjacent organs