Tsugawa C
Department of Surgery, Kobe Children's Hospital.
Nihon Kyobu Shikkan Gakkai Zasshi. 1992 Jun;30(6):1016-21.
Fifty-eight infants and children with various tracheobronchial obstructions were surgically treated at Kobe Children's Hospital between 1980 and 1991. The lesions included subglottic stenosis (24), congenital tracheal stenosis (9), tracheomalacia (15), bronchomalacia (6), and others (4). The operative procedures included laryngotracheoplasty using costal cartilage or anterior cricoid split for subglottic stenosis, tracheoplasty with costal cartilage graft for extensive tracheal stenosis, aortopexy for tracheomalacia, and external stenting or bronchial resection with tracheo-bronchial anastomosis for bronchomalacia. In 46 of 58 patients, the endotracheal tube was successfully removed and the patient remained free of respiratory symptoms. These operative results encourage us to continue all surgical procedures except for external stenting for bronchomalacia, which did not correct the collapse of the bronchus.
1980年至1991年间，神户儿童医院对58例患有各种气管支气管阻塞的婴幼儿及儿童进行了手术治疗。病变包括声门下狭窄（24例）、先天性气管狭窄（9例）、气管软化（15例）、支气管软化（6例）及其他（4例）。手术方式包括：对于声门下狭窄，采用肋软骨喉气管成形术或环状软骨前部劈开术；对于广泛性气管狭窄，采用肋软骨移植气管成形术；对于气管软化，采用主动脉固定术；对于支气管软化，采用外部支架置入术或气管支气管吻合术并切除支气管。58例患者中有46例成功拔除气管插管，且患者无呼吸道症状。这些手术结果鼓励我们继续开展除支气管软化外部支架置入术之外的所有手术，因为该手术无法纠正支气管塌陷。
