CO_2激光结合改良T型管植入术治疗喉狭窄  

Application of CO_2 laser and T tube in the treatment of the laryngeal stenosis

作　　者：王军[1] 韩德民[1] 叶京英[1] 林忠辉[1] 李秋珍[1] 葛秀明[1] 

机构地区：[1]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,北京100730

出　　处：《中华耳鼻咽喉科杂志》2003年第3期229-231,共3页Chinese Journal of Otorhinolaryngology

摘　　要：目的　研究CO2 激光技术结合放置T型硅胶管治疗成人及儿童喉狭窄的治疗效果。方法　全身麻醉支撑喉镜下CO2 激光切除喉内瘢痕 ,扩大气管造口向上引置T型硅胶管 ,治疗成人及儿童喉狭窄患者 2 2例 ,随访 1～ 3年。结果　 2 2例患者在 1 2～ 2 4个月后经检查拔除T型管 ,其中 2例T型管位置放置过高和 2例T型管的位置过低 ,再次手术重新放置T型管。结论　应用CO2 激光技术结合放置T型硅胶管治疗成人及儿童喉狭窄具有治疗效果好、创伤小、操作简便和术后恢复快等优点。Objective To introduce a new method for treating laryngeal stenosis of both children and adults using silicon T tube and CO 2 laser. Methods Twenty two cases stenosis of adults and children were treated with silicon T tube and CO 2 laser. The tracheotomy were enlarged upward, the laryngeal cavity scar was removed by using CO 2 laser and the laryngeal cavity was exposed by distending laryngoscope under general anesthesia. The follow up time is between 1 to 3 years. Results The 22 cases were successfully decanulated postoperatively in 12 to 24 months.Silicon 4 cases′s T tube were either too high or too low and had second operation. Conclusion The method for treating laryngeal stenosis of both children and adults using silicon T tube and CO 2 laser are effective, easy to operate, less invasive and have a short recovery interval.

关 键 词：CO2激光 改良T型管植入术 喉狭窄 全身麻醉 支撑喉镜 

分 类 号：R767.9[医药卫生—耳鼻咽喉科]