Một số đặc điểm và kết quả phẫu thuật điều trị u nhú thanh quản tại Bệnh viện Quân y 103

Abstract

Objective: To study the clinical characteristics, and histopathological lesions and evaluate the results of surgery to treat laryngeal papillomatosis in adults. Subject and method: A case-by-case descriptive study with intervention on 35 patients diagnosed with laryngeal papillomatosis at the Department of Otolaryngology - 103 Military Hospital from 2015 to 2022. Result: Rate of male/female was 3.38/1; average age: 47.23 ± 12.63; the main functional symptom was hoarseness (97.14%); the most common papilloma site was the vocal cords (74.28%); laryngeal papillomatosis were often morphologically diverse; typical papillomatosis accounted for 91.43%, papillomatosis with dysplasia accounted for 8.57%; patients mainly had only one-time surgery (91.43%); after surgery: 22.86% of patients had no hoarseness, 71.43% of patients had mild hoarseness, patients had almost no complications after surgery (94.28%); 77.14% of patients did not recur after surgery and good surgical results accounted for a high rate of 71.43%. Conclusion: Laryngeal papillomatosis in adults is mainly seen in men, the main symptom is hoarseness (97.14%), the most common location in the vocal cords (74.28%). Pathological results: Typical papillomatosis usually account for 91.43%. Patients usually only have one-time surgery (91.43%) and get good results after surgery (71.43%).