导丝引导球囊扩张术治疗下咽狭窄  

Treatment of hypopharyngeal stenosis with balloon dilatation guided by guide wire

作　　者：计成 张莎莎 王婷婷 王琪 Ji Cheng;Zhang Shasha;Wang Tingting;Wang Qi(Beijing Youlian eye,ear,nose and throat hospital,Beijing,Chaoyang,100000,China)

机构地区：[1]北京优联眼耳鼻咽喉医院,北京朝阳100000

出　　处：《中国医学文摘（耳鼻咽喉科学）》2022年第5期123-125,F0003,共4页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：本文报道了北京优联眼耳鼻喉医院头颈外科收治的一例下咽狭窄瘢痕粘连患者。中年女性,呼吸困难伴吞咽困难多年,7个月前呼吸困难加重,于当地行气管切开,既往白塞氏病15年,下咽瘢痕粘连,吞咽困难、劳力后呼吸困难多年,2020-01-14于某医院取会厌及舌根部肿物活检,病理诊断为粘膜急慢性炎症,鳞状上皮增生,局部炎性肉芽组织形成,曾多地求医苦于白塞氏病因素,对创伤手术效果及复发的影响最终都放弃了。入院喉镜、CT等检查,确诊为下咽狭窄瘢痕粘连,白塞氏病。我科选择经导丝引导球囊扩张术,可多次反复扩张以提高患者的效果和生活质量。This paper reports a case of hypopharyngeal stenosis with cicatricial adhesion admitted to head and Neck Surgery Department of Beijing Union eye and Otorhinolaryngology Hospital.A middle aged woman with dyspnea accompanied by Dysphagia for many years,who developed dysphagia seven months ago,underwent a local tracheotomy.In Beh?et’s disease,she suffered from scarring of the pharynx,dysphagia,and dyspnea after exertion for many years,on January 14,2020,a biopsy of the epiglottis and a mass at the base of the tongue was performed in a hospital.The pathological diagnosis was acute and chronic inflammation of the mucous membrane,hyperplasia of squamous epithelium and formation of local inflammatory granulation tissue,the impact on the outcome and recurrence of trauma surgery was ultimately abandoned.Admission Laryngoscopy,CT examination,confirmed the diagnosis of hypopharyngeal stenosis scar adhesion,Beh?et’s disease.Percutaneous balloon dilatation with guide wire was selected to improve the effect and quality of life of the patients.

关 键 词：白塞氏病 下咽狭窄瘢痕粘连 导丝引导球囊扩张术 微创 多次 

分 类 号：R73[医药卫生—肿瘤]