喉气管狭窄的病因分析及防治  

Clinical Analysis of 178 Patients with Laryngotracheal Stenosis

作　　者：杨慧[1] 李昌林[2] 

机构地区：[1]华西医科大学附属第一医院 [2]华西医科大学附属第一医院耳鼻咽喉科,成都610041

出　　处：《华西医学》1999年第4期410-411,共2页West China Medical Journal

摘　　要：为了探讨喉气管狭窄的原因、诊断及防治 ,分析 1962年～ 1996年 178例喉气管狭窄病例 ,发现儿童组造成喉气管狭窄的主要原因是不恰当的气管切开术 ,占 5 6 6% ,成年人主要原因是颈部外伤造成 ,占 78% ,因此对小儿气管切开应严格规范操作 ,成人颈外伤早期处理是预防喉气管狭窄的关键。对其中 5 8例喉气管狭窄病例采用“T”形硅胶管整复术 ,占 86 2 % ,患者获得治愈。认为 :“T”形硅胶管整复是一种简便可靠的方法 ,其优点是易操作 ,不影响外观 ,成功率高 ,值得推广。。One-hundred seventy-eight patients of Laryngotracheal stenosis admitted and treated in our department from 1992 to 1996 were presented Analysis of the pathogeny found that the main cause was inproper tracheotomy in children group (56 5%),and injury of neck in adult group (78%),so tracheotomy in children should be done strictly and standardly,and the early treatment to adult with neck injury was the key to prevention of laryngotracheal stenosis.Fifty-eight patients were managed with silicone T-tube constructive surgery,in which fifty patients were cured (86 2%).Our conclusion was that silicone T-tube constrctive surgery was a simple and reliable approach with advantages of easily operated manageable,little effect on appearance and a high success rate.It was worth spreading.

关 键 词：喉狭窄 气管狭窄 外科手术 病因 诊断 

分 类 号：R767.7[医药卫生—耳鼻咽喉科] R768.11[医药卫生—临床医学]