经造瘘口“T”形管置入术治疗儿童喉狭窄  

Application of T tube in the treatment of laryngeal stenosis in children

作　　者：王军[1] 韩德民[1] 叶京英[1] 李秋珍[1] 葛秀明[1] 

机构地区：[1]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,北京100730

出　　处：《中国耳鼻咽喉头颈外科》2005年第4期255-256,共2页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的探讨应用CO2激光技术结合经气管造瘘口放置“T”形硅胶管扩张治疗儿童期喉狭窄的疗效。方法全身麻醉插管后在支撑喉镜下以CO2激光切除喉内瘢痕,经气管造瘘口向上引置“T”形硅胶管进行扩张,治疗儿童喉狭窄患者18例,随访1年。结果18例患儿中16例在12个月后拔除“T”形管,封闭造瘘口。1例因意外死亡,1例因气管塌陷未能拔管,拔管率88.89%。结论应用CO2激光切除喉内瘢痕同时放置“T”形硅胶管扩张,对于儿童期喉狭窄是一种简单、有效的治疗方法。OBJECTIVE To study the curative ef-fect of the procedure using silicon T tube and CO2 laserfor treating laryngeal stenosis in children. METHODSEighteen children with laryngeal stenosis were treatedwith silicon T tube and CO2 laser. The follow-up time is12 months. RESULTS Sixteen cases have been extu-bated successfully in 12 months. The decannulationrate is 88.89 %. CONCLUSION The method for treatinglaryngeal stenosis of children using silicon T tube andCO2 laser is effective, which is valuable to improve thevoice and respiration.

关 键 词：“T”形管 喉狭窄 CO2激光切除 置入术 气管造瘘口 支撑喉镜下 硅胶管 扩张治疗 激光技术 麻醉插管 意外死亡 气管塌陷 同时放置 治疗方法 儿童期 拔管率 瘢痕 喉内 

分 类 号：R767.1[医药卫生—耳鼻咽喉科]