硅胶T型管在喉气管重建中的应用  

Use of silicon T-tube in laryngotracheal reconstruction

作　　者：刘志[1] 陈文弦[1] 崔鹏程[1] 高鹏飞[1] 阮炎艳[1] 罗家胜[1] 仲莉梅[1] 

机构地区：[1]第四军医大学唐都医院耳鼻咽喉科,西安710038

出　　处：《临床耳鼻咽喉头颈外科杂志》2011年第19期882-883,共2页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:观察硅胶T型管在喉气管重建中应用的效果,并探讨其使用方法。方法:采用喉气管重建术治疗喉气管狭窄患者297例,全部患者术前均依靠气管切开通道呼吸,术后均采用硅胶T型管支撑3～6个月。结果:全部患者中,289例(97.3%)治愈拔管,恢复正常呼吸及功能性发声。经1～10年随访,疗效可靠,无再狭窄发生。结论:在喉气管重建中,T形硅胶管是一种安全有效的支撑器,在应用中注意一些细节问题,可避免并发症的发生,获得满意疗效。Objective：To discuss the function and operative method of silicon T tube in laryngotracheal reconstruction.Method：Two hundred and ninety-seven patients of laryngotracheal stenosis were operated with laryngotracheal reconstruction in our department.All of patients were tracheostomy dependent before reconstruction and were placed a silicon T-tube stenting for 3 to 6 months after reconstruction.Result：Two hundred and eighty-nine patients（97.3%） were successfully decannulated with good airway patency and effective phonation.They were followed up from 1 to 10 years,and no recurrence was found.Conclusion：Silicon T-tube is an effective and safe stent for laryngotracheal reconstruction.Paying attention to some application details may avoid the complication and obtain a satisfactory effect.

关 键 词：硅胶T型管 支撑器 喉狭窄 气管狭窄 喉气管重建 

分 类 号：R767.7[医药卫生—耳鼻咽喉科]