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[各种病因所致喉及颈段气管狭窄的治疗算法]

[Therapeutic algorithm in stenosis of the larynx and cervical trachea of various etiology].

作者信息

Kirasirova E A, Karimova F S, Kabanov V A, Lafutkina N V, Khamzalieva R B

出版信息

Vestn Otorinolaringol. 2006(2):20-4.

PMID:16710176
Abstract

An algorithm of the treatment of laryngo- tracheal stenosis (LTS) is proposed to raise efficacy of surgical treatment of LTS and to reduce the number of postoperative complications. The algorithm comprises adequate preoperative preparation of the patients including pharmacological prophylaxis of inflammation in the operative zone; effective use of laryngotracheoplasty; prophylaxis of postoperative scarring including reconstruction of created laryngotracheal passage and administration of medicines influencing general and local immunity, tissue metabolism, repair in the region of postoperative inflammation. The efficacy of the algorithm was followed up un 54 (33.7%) patients with laryngostenosis and 106 (66.3%) patients with laryngo-tracheal stenosis. The algorithm application help rehabilitate all the patients with laryngeal stenosis and 92 (86.8%) patients with laryngo-tracheal stenosis.

摘要

提出了一种喉气管狭窄(LTS)的治疗算法,以提高LTS的外科治疗效果并减少术后并发症的数量。该算法包括对患者进行充分的术前准备,包括对手术区域炎症的药物预防;有效使用喉气管成形术;预防术后瘢痕形成,包括重建所形成的喉气管通道以及给予影响全身和局部免疫、组织代谢、术后炎症区域修复的药物。对54例(33.7%)喉狭窄患者和106例(66.3%)喉气管狭窄患者的算法效果进行了随访。该算法的应用帮助所有喉狭窄患者以及92例(86.8%)喉气管狭窄患者康复。

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