摘要
會厭谿囊腫發生於嬰兒者十分罕見，若未能正確的診斷與治療則死亡率極高。本文報告6名嬰兒因喘鳴與餵食困難而入院，經纖維支氣管鏡檢查，發現舌根後方有囊腫狀腫塊，佔據會厭谿。電腦斷層掃瞄證實，腫塊屬囊腫結構，於是在全身麻醉下，以二氧化碳雷射將囊腫部切除。術後嬰兒的喘鳴消失，餵食顯著改善，體重亦有明顯增加。茲將此經驗提出報告，並強調：1.對於嬰兒喘鳴的原因，會厭谿囊腫須列入鑑別診斷的考慮項目。2.纖維支氣管可迅速、直接的檢查囊腫與可能併存的呼吸道異常。3.以二氧化碳雷射對囊腫作去頂手術，能較徹底的切除囊壁，防止復發。4.對於罹患上呼吸道阻塞疾病的嬰兒，常需要包括耳鼻喉科、小兒科與麻醉科醫師的團隊合作，才能使病患得到妥善的治療。
並列摘要
Vallecular cyst in infants is rare. Yet, the mortality rate is very high, if it is not correctly diagnosed and treated. This report presents six patients of infantile vallecular cyst, who were hospitalized because of stridor and feeding difficulty. Bronchofiberscopy revealed cystic masses over the vallecular space. The computerized tomographic scan showed that the round shadow was consistent with a cystic structure. Therefore, six infants received CO₂ laser surgery for deroofing of the cysts under general anesthesia. Post-operatively, the stridor decreased and the feeding difficulty improved significantly. The following suggestions are emphasized: 1.Vallecular cyst should be included in the diagnostic consideration for infantile stridor. 2. Use of bronchofiberoscopy can promptly examine vallecular cyst and synchronous airway lesion. 3. Deroofing of the cyst by CO₂ laser can fully excise the cystic wass as well as better prevent recurrence. 4. It needs a team work by the pediatrician, anesthetist and otolaryngologist to provide a more thorough treatment for infants with upper airway obstruction.
延伸閱讀
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