Gołabek Wiesław, Morshed Kamal
Katedra i Klinika Otolaryngologii AM w Lublinie.
Otolaryngol Pol. 2003;57(2):225-8.
The aim of the study was evaluation of early results of tracheal resection with end to end anastomosis. Tracheal resection was performed in 5 patients with tracheal stenosis resulting from prolonged intubation. Three patients were admitted without tracheostomy, in two patients tracheostomy was performed in another hospital. Diagnostic tracheoscopy was performed in all the patients and the tracheal stenosis was found in a distance of 2.5-4 cm from the vocal cords. The diameter of stenosis was 1-4 mm, and the length of stenosis was as long as 3-5 cartilages of trachea. Three cartilages were resected in one patient, 4 cartilages in two patients and 5 cartilages in two patients. End to end anastomosis was performed using absorbable sutures (Vicryl 2-0). The intubation tube was removed just after the surgery. Four patients had no complication after the operation and one patient had temporary subcutaneous emphysema in the neck. For 4-11 months follow up after operation all the patients have had good breathing. Tracheal resection with end to end anastomosis is effective method of treatment of tracheal stenosis.
本研究的目的是评估气管端端吻合术的早期结果。对5例因长期插管导致气管狭窄的患者进行了气管切除术。3例患者入院时未行气管切开术，2例患者在其他医院已行气管切开术。所有患者均进行了诊断性气管镜检查，发现气管狭窄位于距声带2.5 - 4 cm处。狭窄直径为1 - 4 mm，狭窄长度达3 - 5个气管软骨环。1例患者切除3个软骨环，2例患者切除4个软骨环，2例患者切除5个软骨环。使用可吸收缝线（薇乔2-0）进行端端吻合。术后立即拔除气管插管。4例患者术后无并发症，1例患者颈部出现暂时性皮下气肿。术后随访4 - 11个月，所有患者呼吸良好。气管端端吻合术是治疗气管狭窄的有效方法。
