开放性喉外伤急诊喉重建手术及临床分析  

Clinical analysis on emergent laryngeal reconstruction surgery for cases with open laryngeal trauma

作　　者：石达[1] 王虎[1] 江月成[1] 罗将[1] 

机构地区：[1]江苏省泗洪县人民医院耳鼻喉科,223900

出　　处：《中国中西医结合耳鼻咽喉科杂志》2016年第2期115-116,共2页Chinese Journal of Otorhinolaryngology in Integrative Medicine

摘　　要：目的探讨开放性喉外伤的准确诊断与急诊处理方法。方法回顾性分析开放性喉外伤急诊患者17例的临床诊疗资料,总结其临床特点及诊疗经验。结果 17例患者均采用了急诊重建手术。术后12例发音恢复正常;2例发生术后咽瘘,1例发生术后气管食管瘘,经进一步处理后瘘道均愈合,无声音嘶哑;1例术后发生喉狭窄,再次手术后喉狭窄治愈,单遗留术后声音嘶哑;1例患者因伤势过重而死亡。结论在开放性喉外伤的急诊期即应尽抢救,最大限度保留或恢复喉功能,防止并发症。Objective To investigate the better procedures for definite diagnosis and emergent treatment by laryngeal reconstruction surgery for cases with open laryngeal trauma based on a clinical trial. Methods A retrospective study was made among17 cases with open laryngeal trauma, treated by emergency laryngeal reconstruction surgery in our Hospital. Carefully analyzed were their clinical data to sum up clinical features of such a condition and our experience with definite diagnosis and emergent treatment for it. Results All these 17 cases received emergent laryngeal reconstruction operation. During the following up period, it was found that 12 cases had their pronunciation function recovered to normal status. There were 2 cases presented with pharyngeal fistula, 1case with tracheoesophageal fistula and 1 with laryngeal stenosis. Followed appropriate treatment for such conditions, fistula was healed, with no hoarse left, and laryngeal stenosis cured by reoperation, but still showing some degree of hoarse postoperatively.However, there was one case died of severe condition of laryngeal injury in this group of cases. Conclusion During the period of emergency for cases with open laryngeal trauma, one of the most important things is to reserve, or recover, patient＇s laryngeal function as maximized as possible and to prevent complications from occurring.

关 键 词：开放性喉外伤 急诊治疗 喉重建 功能保留 

分 类 号：R767.91[医药卫生—耳鼻咽喉科]