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[儿童气管支气管狭窄的球囊扩张术。附4例报告]

[Balloon dilatation of tracheobronchial stenoses in children. Apropos of 4 cases].

作者信息

Polonovski J M, Hertz Panier L, Francois M, Garel C, Hassan M, Narcy P

机构信息

Service d'ORL et de Chirurgie Cervico-Faciale, Hôpital Robert Debré, Paris.

出版信息

Ann Otolaryngol Chir Cervicofac. 1991;108(7):411-6.

PMID:1789614
Abstract

Long-lasting tracheal tubing in newborns and infants, associated with repeated tracheobronchial aspiration, is sometimes complicated by tracheal and/or bronchial stenoses. Many therapeutic methods have been described to treat this condition: use of dilatators, laser, surgery, insertion of prosthetic material. Dilatation with an angioplasty balloon has been recently described for the treatment of various stenoses. The authors report about 3 cases of acquired tracheobronchial stenosis which were successfully treated with this method, and 1 case of complex tracheal stenosis (with a double inflammatory and congenital nature) which required both dilatation and surgery. The technique is described. There is no morbidity and no mortality in this non-randomized series. Balloon dilatation is a simple and effective method, which may be proposed as a first-intention treatment for acquired tracheobronchial stenosis in newborns and infants.

摘要

新生儿和婴儿使用的长期气管导管,与反复的气管支气管抽吸有关,有时会并发气管和/或支气管狭窄。已经描述了许多治疗这种疾病的方法:使用扩张器、激光、手术、插入假体材料。最近有人描述了使用血管成形术球囊进行扩张治疗各种狭窄。作者报告了3例采用该方法成功治疗的后天性气管支气管狭窄病例,以及1例需要扩张和手术治疗的复杂气管狭窄(具有双重炎症和先天性性质)病例。文中描述了该技术。在这个非随机系列中没有发病率和死亡率。球囊扩张是一种简单有效的方法,可作为新生儿和婴儿后天性气管支气管狭窄的首选治疗方法。

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