滑动喉气管成形术治疗先天性声门下区狭窄1例及随访  

Slide laryngotracheoplasty for treating congenital subglottic stenosis: a case report and follow-up

作　　者：王超[1] 冯致余[2] 孟晨[1] 马静[1] 杨彦亮 王少超[3] 王磊[3] 许风雷 Wang Chao;Feng Zhiyu;Meng Chen;Ma Jing;Yang Yanliang;Wang Shaochao;Wang Lei;Xu Fenglei(Center for Respiratory Intervention,Children′s Hospital Affiliated to Shandong University(Ji′nan Children′s Hospital),Ji′nan 250022,China;Department of Cardiac Surgery,Children′s Hospital Affiliated to Shandong University(Ji′nan Children′s Hospital),Ji′nan 250022,China;Department of Anesthesiology,Children′s Hospital Affiliated to Shandong University(Ji′nan Children′s Hospital),Ji′nan 250022,China;Department of Otorhinolaryngology,Shandong Provincial Hospital,Ji′nan 250021,China)

机构地区：[1]山东大学附属儿童医院(济南市儿童医院)呼吸介入科,济南250022 [2]山东大学附属儿童医院(济南市儿童医院)心脏外科,济南250022 [3]山东大学附属儿童医院(济南市儿童医院)麻醉科,济南250022 [4]山东省立医院耳鼻喉科,济南250021

出　　处：《中华实用儿科临床杂志》2022年第20期1583-1585,共3页Chinese Journal of Applied Clinical Pediatrics

基　　金：山东省重特大疾病"防诊控治康"科技示范工程(2021SFGC0503)。

摘　　要：对2021年12月山东大学附属儿童医院呼吸介入科收治的1例先天性声门下区狭窄(C-SGS)行滑动喉气管成形术患儿资料进行回顾性分析。患儿,女,2个月15 d,因"呼吸困难2个月余,气管切开术后23 d"就诊。支气管镜、环状软骨B超提示声门下区狭窄,未见瘢痕增生。结合患儿病史,诊断为C-SGS。入院后2周行滑动喉气管成形术,术后即拔除气管切开套管。术后2个月余随访,恢复良好,无呼吸困难表现。提示对于C-SGS,可在明确诊断后早期、安全手术,提供即时和足够的气道空间,保证良好的声音质量和吞咽功能。The data of a case of congenital subglottic stenosis(C-SGS)who underwent slide laryngotracheoplasty in the Center for Respiratory Intervention,Children′s Hospital Affiliated to Shandong University in December 2021 was analyzed retrospectively.The patient was a girl aged 2 months and 15 days.She visited the hospital 23 days after tracheotomy due to dyspnea for more than 2 months.The bronchoscopy and annular cartilage B ultrasound results suggested subglottic stenosis and no scar hyperplasia.Based on the medical history,the child was diagnosed with C-SGS.Slide laryngotracheoplasty was performed 2 weeks after admission,and the tracheotomy tube was removed after surgery.The child was followed up 2 months after surgery,and she recovered well with no dyspnea.The study results suggest that early and safe slide laryngotracheoplasty after definite diagnosis can provide immediate and sufficient airway space for C-SGS patients,and protect their voice and swallowing function.

关 键 词：滑动喉气管成形术 先天性声门下区狭窄 婴儿 

分 类 号：R726.5[医药卫生—儿科]