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成人声门下狭窄的管理

Management of subglottic stenosis in the adult.

作者信息

McCaffrey T V

机构信息

Department of Otolaryngology, Mayo Clinic, Rochester, Minnesota 55905.

出版信息

Ann Otol Rhinol Laryngol. 1991 Feb;100(2):90-4. doi: 10.1177/000348949110000202.

DOI:10.1177/000348949110000202
PMID:1992906
Abstract

Twenty-one adult patients were surgically treated for severe subglottic stenosis refractory to endoscopic treatment. Patients were treated by anterior or anterior and posterior cricoid division with costal cartilage grafting. Seventy-six percent of the patients were successfully decannulated. Success of treatment was not dependent on cause of the stenosis or age or sex of the patient. There was a significantly better outcome (p less than .05) in patients with isolated subglottic stenosis versus those with combined glottic and subglottic stenosis.

摘要

21例成年患者因内镜治疗难治性严重声门下狭窄接受了手术治疗。患者接受了环状软骨前部分离或前后部分离并肋软骨移植术。76%的患者成功拔管。治疗成功与否不取决于狭窄的病因、患者的年龄或性别。孤立性声门下狭窄患者的治疗效果明显优于声门和声门下联合狭窄患者(p<0.05)。

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