带蒂胸骨舌骨肌瓣及舌骨修复喉气管狭窄  

Reconstruction of laryngotracheal stenosis with hyoid graft and pedicle sternohyoid muscle flaps

作　　者：黎高新[1] 周建波[1] 肖旭平[1] 

机构地区：[1]湖南省人民医院耳鼻咽喉-头颈外科,长沙410005

出　　处：《临床耳鼻咽喉头颈外科杂志》2008年第21期977-979,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:评价带蒂胸骨舌骨肌瓣及舌骨修复喉气管狭窄的疗效。方法:用单蒂或双蒂胸骨舌骨肌瓣及舌骨重建喉气管软骨支架缺损、缺失及软组织塌陷。结果:21例喉气管狭窄及缺损患者,16例1次手术治愈,3例2次手术治愈,全部拔管出院,1例失败,1例失访。结论:对于喉气管软骨支架缺损、缺失及塌陷等所致狭窄,采用带蒂舌骨肌瓣及舌骨重建取材方便、损伤小、支撑作用好、成活率高。Objective：To evaluate the possibility and reliability of hyoid graft and pedicle sternohyoid muscle flaps in the reconstruction of laryngotracheal stenosis. Method： Using the single or double pedicle sternohyoid muscle flaps and hyoid graft , we repaired laryngotracheal stenosis. Result： In all 21 cases with laryngotracheal stenosis, 16 cases were cured after one surgical procedure, and 3 cases were cured after two times of surgical pro- cedures, and 19 cases were decanuated, but one case was failure, and one case was lost visiting. Conclusion： The hyoid sternohyoid graft transfer method was convenient, slightly damaging, and had good supporting effects and high survival rate in the reconstruction of laryngotracheal stenosis.

关 键 词：喉狭窄 气管狭窄 胸骨舌骨肌瓣 舌骨 外科手术 

分 类 号：R562.1[医药卫生—呼吸系统]