逆行穿刺再通后Montgomery-T型管置入术治疗声门下气管闭锁的临床分析  

Application of Montgomery T-tube implantation after reverse puncture airway recanalization in the treatment of Cotton-MyerⅣsubglottic airway atresia

作　　者：孔颖颖[1] 王婷[1] 邱小建[1] 卜小宁 张杰[1] 王娟[1] Kong Yingying;Wang Ting;Qiu Xiaojian;Bu Xiaoning;Zhang Jie;Wang Juan(Department of Pulmonary and Critical Care Medicine,Beijing Tiantan Hospital,Capital Medical University,Beijing100071,China)

机构地区：[1]首都医科大学附属北京天坛医院呼吸与危重症医学科,北京100071

出　　处：《中华结核和呼吸杂志》2024年第12期1140-1143,共4页Chinese Journal of Tuberculosis and Respiratory Diseases

基　　金：北京市临床重点专科项目(京卫[2020]129号)。

摘　　要：声门下气管闭锁是最严重的气管狭窄类型,常导致患者气管切开套管难以拔除,严重影响其生存质量甚至生命危险。本文通过回顾性分析10例首都医科大学附属北京天坛医院收治的气管闭锁患者病例资料,分析并总结其经逆行穿刺再通后T管置入术治疗取得较好疗效的经验,以提高支气管镜医生对声门下气管闭锁治疗能力。Cotton-MyerⅣsubglottic airway atresia is the most severe type of tracheal stenosis,often leading to long-term in-dwelling tracheotomy cannula in patients,which can severely affect their quality of life and even be life threatening.In order to improve the treatment ability of bronchoscopy physicians for airway atresia,this article retrospectively analyzed 10 cases of subglottic airway atresia in Beijing Tiantan Hospital,Capital Medical University,and summarized the experience of achieving better results by Montgomery T-tube implantation after reverse puncture airway recanalization.

关 键 词：北京天坛医院 气管狭窄 生命危险 逆行穿刺 气管闭锁 支气管镜 气管切开套管 声门下 

分 类 号：R653[医药卫生—外科学]