喉气管狭窄的治疗——我们的经验。
Management of laryngotracheal stenosis - our experience.
作者信息
Parida Pradipta Kumar, Gupta Ashok Kumar
机构信息
Department of Otorhinolaryngology and Head-Neck Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
出版信息
Indian J Otolaryngol Head Neck Surg. 2009 Dec;61(4):306-12. doi: 10.1007/s12070-009-0088-3. Epub 2010 Jan 9.
OBJECTIVE
To describe our experience in the management of laryngotracheal stenosis (LTS).
STUDY DESIGN
Prospective study.
MATERIALS AND METHODS
This study was carried out from 2001 to 2004 on 30 cases. All cases were investigated by spiral computerized tomography and endoscopic examination.
RESULTS
There were 21 males and 9 females treated for LTS resulting from trauma (19), intubation (9) and congenital (2). Patients were divided into four groups based on surgical procedures they underwent: group I, endoscopy dilatation group (7 cases); group II, laryngotracheoplasty with Montgomery tube insertion (12 cases); group III, laryngotracheoplasty with Montgomery laryngeal stent insertion (5 cases) and group IV, cricotracheal resection with M-tube insertion (6 cases); The number of patients decannulated in group I, group II, group III and group IV were 4, 10, 0 and 5, respectively. We found statistically significant difference between decannulated and nondecannulated group for site and length of stenosis.
CONCLUSION
Patients undergoing dilatation for LTS require multiple procedures. Open surgical exploration with stent has a better outcome than those with repeated dilatation.
目的
描述我们在喉气管狭窄（LTS）治疗方面的经验。
研究设计
前瞻性研究。
材料与方法
本研究于2001年至2004年对30例患者进行。所有病例均通过螺旋计算机断层扫描和内镜检查进行评估。
结果
因创伤（19例）、插管（9例）和先天性（2例）导致的LTS患者中，男性21例，女性9例。根据患者接受的手术方式将其分为四组：第一组，内镜扩张组（7例）；第二组，插入蒙哥马利管的喉气管成形术组（12例）；第三组，插入蒙哥马利喉支架的喉气管成形术组（5例）；第四组，插入M管的环状气管切除术组（6例）。第一组、第二组、第三组和第四组脱管的患者数量分别为4例、10例、0例和5例。我们发现脱管组和未脱管组在狭窄部位和长度方面存在统计学上的显著差异。
结论
接受LTS扩张治疗的患者需要多次手术。采用支架的开放性手术探查比反复扩张的效果更好。
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