von Glass W, Weidenbecher M
HNO-Klinik, Universität Erlangen-Nürnberg.
HNO. 1989 Jun;37(6):259-63.
We analysed the medical records of 41 patients who had undergone sleeve resection of the trachea for cicatricial stenosis of the airway at least 1 year previously. An attempt was made with the aid of a questionnaire and follow-up examination to determine the long-term results of these patients. Thirty-two of the patients were available for review. In 22 patients, respiration at rest and during exertion was adequate. Six patients had dyspnoea under stress due to a medical cause, or it was not possible to assess respiration under conditions of exertion. In 2 patients in whom a very long segment of the trachea had been resected, a recurrent tracheal stenosis had led to dyspnoea on exertion, although respiration at rest was adequate. Two patients had to undergo further surgery for dyspnoea at rest. In both patients, in addition to the stenosis of the trachea, narrowing of the glottis caused by paralysis of the vocal cords in the paramedian position was also present. Overall the results of tracheal sleeve resection were good. The great advantage of this method in comparison with other procedures is the fact that a stenosis of the trachea can be eliminated in a single operation with a high chance of success.
我们分析了41例至少在1年前因气道瘢痕性狭窄接受气管袖状切除术患者的病历。借助问卷调查和随访检查，试图确定这些患者的长期结果。其中32例患者可供复查。22例患者静息及运动时呼吸正常。6例患者因内科原因在应激状态下出现呼吸困难，或者无法在运动状态下评估呼吸情况。2例患者切除了很长一段气管，尽管静息时呼吸正常，但复发性气管狭窄导致运动时呼吸困难。2例患者因静息时呼吸困难不得不接受进一步手术。在这2例患者中，除气管狭窄外，还存在声带中位麻痹导致的声门狭窄。总体而言，气管袖状切除术的效果良好。与其他手术方法相比，该方法的一大优势在于可通过单次手术消除气管狭窄，且成功率较高。
