[15例特发性声门下狭窄的诊断与治疗]
[Diagnosis and treatment of 15 cases of idiopathic subglottic stenosis].
作者信息
Guo Zhihua, Cui Pengcheng, Zhao Daqing, Liang Leping, Yang Jing, Zhao Qianqian, Wang Wei, Xing Yuan
机构信息
Department of Otorhinolaryngology Head and Neck Surgery，Tangdu Hospital，Air Force Medical University，Xi'an，710038，China.
Department of Otorhinolaryngology Head and Neck Surgery，Xi'an Honghui Hospital，Xi'an Jiaotong University.
出版信息
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2020 Feb;34(2):173-176. doi: 10.13201/j.issn.1001-1781.2020.02.018.
The aim of this study is to o explore the diagnosis, treatment and prognosis of idiopathic subglottic stenosis （ISS） The clinical data of 15 patients with idiopathic subglottic stenosis treated in our department were analyzed retrospectively. The degree of stenosis was classified by the Cotton Airway grading system of Myer, with 8 cases of gradeⅡ, 4 cases of grade Ⅲ and 3 cases of grade Ⅳ. The time of follow-up of HTSS was 0.5-10 years. All 15 patients were successfully extubated without asphyxia, decannulation and wound nonunion. For patients with idiopathic subglottic stenosis in the non-progressive stage, active surgical treatment strategy should be adopted and treated individually. The prognosis is satisfactory.
本研究旨在探讨特发性声门下狭窄（ISS）的诊断、治疗及预后。回顾性分析了我科收治的15例特发性声门下狭窄患者的临床资料。狭窄程度按Myer的Cotton气道分级系统进行分类，Ⅱ级8例，Ⅲ级4例，Ⅳ级3例。HTSS的随访时间为0.5 - 10年。15例患者均成功拔管，无窒息、拔管及伤口不愈合情况。对于非进展期特发性声门下狭窄患者，应采取积极的手术治疗策略并个体化治疗。预后满意。
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