硅胶管置入在手术治疗喉气管狭窄中的应用  

Surgical reconstruction of laryngeal and tracheal stenosis

作　　者：朱立营[1] 于广久[1] 郭凤[1] 朱立方 邓永君[1] 姜洪波[1] 

机构地区：[1]齐齐哈尔市第一医院耳鼻咽喉科神经外科,黑龙江齐齐哈尔161005 [2]大连瓦房店市中医院CT室,辽宁瓦房店161005

出　　处：《四川医学》2011年第4期563-565,共3页Sichuan Medical Journal

摘　　要：目的探讨硅胶管置入在喉气管狭窄手术治疗中的应用。方法回顾根据喉气管狭窄的范围和程度,选用气管镜扩张、激光切除、喉气管切开成形和支撑器扩张等方式,对36例后天性喉气管狭窄的患者进行治疗。结果 32例患者拔管治愈,成功率为88.8%。结论喉气管狭窄病情复杂多变,术中应根据病变的范围和程度,选择适当的治疗方法,方能获得满意的治疗效果。Objective Reconstruction of laryngeal and tracheal stenosis.Methods According to the pathologic condition of the larynx and trachea,various surgical procedures were designed for the treatment of laryngotracheal stenosis.These techniques included endoscopic management,laser therapy and laryngotrachoetomy with autogenous tissue and stent.Results Among 36 patients,32 were decannulated.The success rate were 88.8%.Conclusion In order to improve the curation effects of laryngotracheal stenosis,the choice of surgical procedure must be individualezed to the pathologic condition of larynx and trachea,as well as the experience of the surgeon.Learning previous successful experience is also important for a good result.

关 键 词：硅胶管 喉狭窄 气管狭窄 外科手术 

分 类 号：R767.7[医药卫生—耳鼻咽喉科]