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[气管上三分之一段广泛瘢痕性狭窄的治疗]

[Treatment of the extensive cicatricial stenoses of the upper third of trachea].

作者信息

Mosin I V, Sanginov A B, Bazhanov A A

出版信息

Khirurgiia (Mosk). 2011(2):37-9.

Abstract

Treatment tactics in patients with the extensive cicatricial stenoses of the upper third of tracheа were thoroughly analyzed. Circular resections of trachea was performed in 51 cases, 18 of those were supplemented with the distal laryngeal resection. Combination of the endoscopic treatment (tracheal bouginage and laser stenosis dissection or tracheal recanalization) and circular resection of the trachea was performed in 23 patients. Endoscopic treatment modality proved to be the temporary measure by the extensive cicatricial stenoses or supratracheostomic obliteration of the trachea, which, nevertheless, permit and facilitates further radical circular tracheal resection.

摘要

对气管上三分之一广泛性瘢痕性狭窄患者的治疗策略进行了全面分析。51例患者进行了气管环形切除术,其中18例辅以远端喉切除术。23例患者采用了内镜治疗(气管探条扩张和激光狭窄切开或气管再通术)与气管环形切除术相结合的方法。内镜治疗方式被证明是针对广泛性瘢痕性狭窄或气管造口上方气管闭塞的临时措施,不过,它允许并便于进一步进行根治性气管环形切除术。

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