Acosta A C, Albanese C T, Farmer D L, Sydorak R, Danzer E, Harrison M R
Department of Surgery, University of California, San Francisco 94143-0570, USA.
J Pediatr Surg. 2000 Nov;35(11):1612-6. doi: 10.1053/jpsu.2000.18330.
The aim of this study was to present slide tracheoplasty as the procedure of choice for tracheal stenosis. From 1990 through 1997, patients referred to University of California, San Francisco for tracheal stenosis were managed by resection and anastomosis. During this period, other centers reported successful use of slide tracheoplasty and, from 1998 to 1999, we performed 3 slide tracheoplasties in addition to 3 more resection and anastomosis procedures.
Between 1990 and 1999, 9 patients with tracheal stenosis of varying lengths underwent surgery at the University of California, San Francisco. They were treated surgically with either resection and anastomosis or with slide tracheoplasty.
Two of the 6 patients treated by resection and anastomosis had an anastomotic breakdown; all 3 patients undergoing slide tracheoplasty did not have anastomotic problems. Technically, a slide tracheoplasty has only one half the tension distributed over an oblique anastomosis that is more than the circumferential length of a resection and anastomosis approach.
Based on these results, a slide tracheoplasty may be the procedure of choice for tracheal stenosis, whether long or short.
本研究的目的是介绍滑动气管成形术作为气管狭窄的首选手术方法。1990年至1997年期间，转诊至加利福尼亚大学旧金山分校治疗气管狭窄的患者采用切除吻合术进行治疗。在此期间，其他中心报告了滑动气管成形术的成功应用，并且在1998年至1999年期间，我们除了进行3例切除吻合术外，还实施了3例滑动气管成形术。
1990年至1999年期间，9例不同长度气管狭窄的患者在加利福尼亚大学旧金山分校接受了手术治疗。他们接受了切除吻合术或滑动气管成形术。
6例接受切除吻合术的患者中有2例出现吻合口破裂；所有3例接受滑动气管成形术的患者均未出现吻合口问题。从技术上讲，滑动气管成形术在斜行吻合口上分布的张力仅为切除吻合术方法周向长度的一半。
基于这些结果，滑动气管成形术可能是气管狭窄的首选手术方法，无论狭窄长度如何。
