妊娠期特发性声门下狭窄的内镜治疗
Endoscopic management of idiopathic subglottic stenosis in pregnancy.
作者信息
Kanzara Todd, Rotman Anthony, Kinshuck Andrew, Al Yaghchi Chadwan, Tan Min Yi, Yu Christina, Sandu Guri
机构信息
ENT Department, Aintree University Hospital, Liverpool, UK.
National Centre for Airway Reconstruction, Imperial College Healthcare NHS Trust, London, UK.
出版信息
Obstet Med. 2021 Dec;14(4):225-229. doi: 10.1177/1753495X21991407. Epub 2021 Feb 27.
AIMS
To describe the use of laser, endoscopic balloon dilatation with jet ventilation anaesthesia in the treatment of pregnant women with idiopathic subglottic stenosis.
MATERIALS AND METHODS
This is a case review of pregnant women with idiopathic subglottic stenosis, presenting to a tertiary referral centre with worsening breathlessness. Data were extracted from patient case notes.
RESULTS
Four women underwent surgical management of subglottic stenosis in pregnancy. One patient required two procedures during the course of their pregnancy due to restenosis. All women had improvement in symptoms post-operatively and went on to deliver healthy babies at term.
CONCLUSION
Endoscopic balloon dilatation of idiopathic subglottic stenosis is a safe and viable treatment option in pregnancy and should be offered as first-line treatment in symptomatic women.
目的
描述激光、内镜球囊扩张联合喷射通气麻醉在治疗特发性声门下狭窄孕妇中的应用。
材料与方法
这是一项对患有特发性声门下狭窄且因呼吸困难加重而就诊于三级转诊中心的孕妇的病例回顾。数据从患者病历中提取。
结果
四名女性在孕期接受了声门下狭窄的手术治疗。一名患者因再狭窄在孕期需要进行两次手术。所有女性术后症状均有改善，并足月分娩出健康婴儿。
结论
特发性声门下狭窄的内镜球囊扩张术在孕期是一种安全可行的治疗选择，对于有症状的女性应作为一线治疗方法。
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