复发性多软骨炎并发喉气管狭窄  

Treatment of laryngotracheal stenosis due to relapsing polychondritis

作　　者：阮炎艳[1] 崔鹏程[1] 陈文弦[1] 高鹏飞[1] 

机构地区：[1]第四军医大学附属唐都医院耳鼻咽喉科,陕西西安710038

出　　处：《中国耳鼻咽喉头颈外科》2008年第8期473-475,共3页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的分析复发性多软骨炎(relapsing poly- chondritis,RP)并发喉气管狭窄的临床特点和预后。方法回顾性分析1996～2006年间我院收治的6例RP并发喉气管狭窄患者的临床资料。结果6例RP并发喉气管狭窄患者,喉气管狭窄范围弥漫广泛,其中4例应用带蒂或游离组织移植行喉气管成形术,2例行胸段气管扩张术。5例手术成功,效果巩固未复发。结论因RP并发喉气管狭窄的病例,治疗更加棘手,但是如根据病情选择适当的手术时机和方法仍可取得满意的疗效。OBJECTIVE To investigate the clinical characteristics, treatment and prognosis of laryngotracheal stenosis due to relapsing polychondritis （RP）. METHODS The clinical data of 6 patients with laryngotracheal stenosis due to RP were reviewed retrospectively. RESULTS From 1996 to 2006, 6 patients with laryngotracheal stenosis due to RP were managed in our hospital. Respiratory tract lesions were diffuse and extensive. Of them, 4 patients accepted laryngotracheal reconstruction using surgical flaps with or without pedicle, 2 accepted dilation of trachea in thoracic segments. Five patients were cured without recurrence. CONCLUSION Treatment of laryngotracheal stenosis due to RP is very difficult. If the surgical opportunity and methods were selected correctly according to each patient, good results can also be obtained.

关 键 词：多软骨炎 复发性:喉狭窄 气管狭窄 耳鼻喉外科手术 

分 类 号：R681.3[医药卫生—骨科学] R767.7[医药卫生—外科学]