CO_2激光联合T形管治疗声门下喉气管狭窄  

Eleven laryngotracheal stenosis with CO_2 laser and T-drainage tube

作　　者：贾弘光[1] 王建宏[1] 刘原虎[2] 倪鑫[2] 

机构地区：[1]首都医科大学附属北京安贞医院耳鼻咽喉头颈外科,北京100029 [2]首都医科大学附属北京儿童医院耳鼻咽喉头颈外科,北京100045

出　　处：《中国耳鼻咽喉头颈外科》2013年第10期517-520,共4页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的研究CO2激光联合T形管置入治疗声门下喉气管狭窄的手术方法、并发症及其对拔管的影响,探讨提高喉气管狭窄疗效的方法。方法回顾性分析2011年7月~2012年2月采用CO2激光瘢痕切除和T形管置入联合治疗的11例声门下喉气管狭窄患者资料,其中不适当气管插管致声门下喉气管狭窄6例,外伤性喉气管狭窄4例,不明原因1例。结果 9例患者于术后6~12个月顺利拔除T形管,呼吸功能改善;1例因T形管周围肉芽组织增生,行局部清创术,术后9个月拔除T形管;1例因通气不足,再次行CO2激光瘢痕切除,并更换直径较粗的T形管,术后12个月拔除T形管,呼吸功能改善。结论 CO2激光联合T形管治疗声门下喉气管狭窄拔管率较高,创伤较小,并具有较好疗效,可作为喉气管狭窄的治疗手段之一。OBJECT VE To evaluate the efficacy of surgical management of laryngostenosis and tracheal stenosis with CO2 laser and T tube.METHODS The clinical data of 11 patients were analyzed.The causes of the laryngostenosis and tracheal stenosis were intubation in 6 cases,trauma in 4 cases and unknown causes in one case.All patients received surgical treatment with CO2 laser and T tube.RESULTS Nine patients were decannulated successfully 6-12 months after operation with normal respiration.One patient was found granuloma around the T tube and restenosis occurred in another patient.The two patients had operation again with CO2 laser and T tube.All the patients were decannulated at last.CONCLUSION Surgical management of laryngotracheal stenosis with CO2 laser and T tube is an effective,relatively simple and minimally invasive method.It can be used as an alternative for treatment of laryngostenosis and tracheal stenosis.

关 键 词：喉狭窄 气管狭窄 激光手术 瘢痕 喉气管重建 

分 类 号：R767[医药卫生—耳鼻咽喉科]