摘要
为探讨喉狭窄的手术治疗方法，应用胸骨舌骨肌舌骨瓣行喉重建术，治疗喉狭窄。12例严重外伤后疤痕性喉狭窄病人，利用胸骨舌骨肌舌骨瓣行喉重建成形术，同时用喉模长期扩张，取得了满意的疗效，12例病人全部成功拔管。显示用带肌蒂舌骨行喉成形术的优点是：1．组织坚固维持气道腔正常结构；2．在同一术野取移植物；3．移植骨血供丰富，抗感染力强，吸收少。本文结果显示：带蒂舌骨是喉狭窄治疗的一种理想的移植材料。
In order to study the procedure for traumatic stenosis of larynx, this article presented our clinic experi-ences of treatment of laryngeal stenosis with sternohyoid-hyoid graft. 12 patients with laryngeal stenosis were treated by largngotracheoplasty using composite hyoid-sternohyoid muscle graft and were associated with long-term stenting. Sat-isfactory results were obtained. All 12 patients were decannulated successfully. The surgical procedure was described in detail. The advantages of the sternohyold graft are: (1 ) Firm graft maintains the architecture of the lumen; (2) The donor graft is available at the same operative exposure ; (3) A vascularized graft decreases the possibility of future bony resorption. Pedicled hyoid bone is an ideal graft for laryngoplasty.
出处
《上海医学》
CAS
CSCD
北大核心
1997年第1期19-20,共2页
Shanghai Medical Journal
关键词
喉狭窄
喉重建术
Laryngotracheal stenosis Sternohyoid-hyoid graft Stent Laryngotracheal reconstruction
