[二氧化碳激光与T形管在喉狭窄治疗中的应用]
[Application of CO2 laser and T tube in the treatment of the laryngeal stenosis].
作者信息
Wang Jun, Han De-min, Ye Jing-ying, Lin Zhong-hui, Li Qiu-zhen, Ge Xiu-ming
机构信息
Department of Otorhinolaryngology-Head and Neck Surgery, Beijing Tongren Hospital, Beijing 100730, China.
出版信息
Zhonghua Er Bi Yan Hou Ke Za Zhi. 2003 Jun;38(3):229-31.
OBJECTIVE
To introduce a new method for treating laryngeal stenosis of both children and adults using silicon T tube and CO2 laser.
METHODS
Twenty-two cases stenosis of adults and children were treated with silicon T tube and CO2 laser. The tracheotomy were enlarged upward, the laryngeal cavity scar was removed by using CO2 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 CO2 laser are effective, easy to operate, less invasive and have a short recovery interval.
目的
介绍一种使用硅胶T管和二氧化碳激光治疗儿童及成人喉狭窄的新方法。
方法
对22例成人及儿童喉狭窄患者采用硅胶T管及二氧化碳激光治疗。在全身麻醉下，向上扩大气管切开处，用二氧化碳激光去除喉腔瘢痕，并用喉镜撑开暴露喉腔。随访时间为1至3年。
结果
22例患者术后12至24个月成功拔管。4例硅胶T管位置过高或过低，进行了二次手术。
结论
使用硅胶T管和二氧化碳激光治疗儿童及成人喉狭窄的方法有效、操作简便、创伤小且恢复时间短。
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