摘要
目的 :进一步探讨瘢痕性喉气管完全闭锁的治疗方法。方法 :应用激光烧灼声门裂开成形术 ,用带蒂或游离组织移植喉气管成形术 ,用瘢痕组织喉气管成形术 ,气管端端吻合术 ,沟槽法 期喉气管成形术 ,开胸支气管成形术。结果 :治疗喉气管完全闭锁患者 48例 ,痊愈 46例 ,其中 1次手术治愈 2 6例 ,2～ 3次治愈 2 0例。随访1～ 12年 ,疗效满意。结论 :瘢痕性喉气管完全闭锁难治 ,但如根据病情选择适当的手术方法仍可取得满意的疗效。
Objective:In order to improve the treatment methods of laryngotracheal atresia, several improved surgical procedures were used.Method:From 1986,the 48 patients with laryngotracheal atresia accepted surgical treatment in our hospital.Laryngo fissure with laser cauterization of the glottis, laryngotracheal reconstruction using surgical flaps with or without particles, laryngo tracheal reconstruction using itself′s cicatrices, tracheal end to end anastomosis, two stage laryngotracheal reconstruction using aqueduct method, bronchotracheal reconstruction through the chest. Result:46/48 cases were cured breathing without tracheal cannula.Following up survey is 1～12 years.Conclusion:The treatment of cicatriceal laryngotracheal atresia was difficult, but if the surgical methods were selected carefully according to the situation of each patient, we also can get a good result.
出处
《临床耳鼻咽喉科杂志》
CSCD
北大核心
2001年第1期19-20,共2页
Journal of Clinical Otorhinolaryngology
关键词
喉狭窄
气管狭窄
喉重建
气管重建
瘢痕性喉气管闭锁
Laryngeal stenosis
Tracheal stenosis
Laryngeal reconstruction
Tracheal reconstruction
