喉气管狭窄的支撑内固定疗效观察  

Inner fixation treatment for patients with laryngostenosis and tracheostenosis

作　　者：王晓佳[1] 全永安[1] 张光平[1] 

机构地区：[1]中国人民解放军成都军区昆明总医院耳鼻咽喉科,650032

出　　处：《耳鼻咽喉（头颈外科）》2000年第4期206-207,共2页Chinese Arch Otolaryngology-Head Neck Surg

摘　　要：对 12例喉气管狭窄病人行支撑内固定治疗 ,手术时首先切除喉气管病变 ,松解瘢痕组织 ,局部修复后行扩张治疗 ,方法为 :1用空心管做喉气管内固定扩张 ;2硅橡胶囊喉模软固定支撑 ;3“T”形管置入支撑。支撑扩张时间为 2周～ 18个月。结果 :9例顺利拔管 ;1例带管放疗 1年后拔管 ;1例拔管后肿瘤复发改行半喉切除术 ;1例未支撑 ,带管随访中。认为喉气管狭窄行支撑内固定疗法 ,效果较满意。Twelve patients with laryngostenosis and tracheostenosis were treated by surgery of inner fixation,which included hollow tube,laryngeal model of silastic sac and “T”tube supporting and the investigation period was from 2 weeks to 18 months.There were 8 males and 4 females,ranging in age from 12 to 62 years old.The reasons of laryngostenosis and tracheostenosis were traumatic in 4,chemical injury in 1,cartilage neoplasm in 1,haemangioma in 1,squamous cell carcinoma of trachea in 2 and thyroid carcinoma in 3.Results showed that the decannulation rate was 75 0%(9/12).The advantage of inner fixation treatment for patients with laryngostenosis and tracheostenosis were discussed in this paper. [Chinese Arch Otolaryngol Head Neck Surg,2000;7(4):205~207 From the Department of Otolaryngology,Kunming General Hospital of Chengdu Military Region,Yunnan Kunming 650032 (Dr.Wang Xiaojia)]

关 键 词：喉狭窄 气管狭窄 治疗 外科手术 

分 类 号：R767[医药卫生—耳鼻咽喉科]