青少年气管插管后气管狭窄患者与成人单阶段气管切除术的治疗结果及术后并发症比较
Treatment Results and Postoperative Complications of Single-Stage Tracheal Resection in Adolescent Patients with Post-Intubation Tracheal Stenosis, Compared to Adults.
作者信息
Aslıer Mustafa, Yıldırım Muhammed Furkan, Coşkun Hakan
机构信息
Department of Otolaryngology, Head and Neck Surgery, Bursa Uludağ University School of Medicine, Bursa, Turkey.
出版信息
Turk Arch Otorhinolaryngol. 2022 Mar;60(1):1-8. doi: 10.4274/tao.2022.2022-2-8. Epub 2022 May 12.
OBJECTIVE
The purpose of this study was to analyze the treatment outcomes and postoperative complications of tracheal resection in patients under the age of 19 years with post-intubation tracheal stenosis, and to compare the results with those of adults.
METHODS
Data were retrospectively retrieved from the medical records, including demographic characteristics, perioperative features, any postoperative complications and follow-up statuses of the patients. Treatment results and postoperative complications were compared between adolescent and adult groups.
RESULTS
Overall, anastomotic and non-anastomotic complication rates in the adolescent group and the adult group were 40%, 40%, 10% and 63%, 44.4%, 33.3%, respectively. Overall treatment success rates based on tracheostomy tube and tracheal stent free status were 90% and 92.6% in adolescent and adults, respectively.
CONCLUSION
Treatment success rates and incidence of anastomotic complications were found similar in patients under the age of 19 years and adult patients who underwent single-stage tracheal resection and end to end anastomosis for treatment of post-intubation tracheal stenosis.
目的
本研究旨在分析19岁以下因插管后气管狭窄接受气管切除术患者的治疗效果及术后并发症，并将结果与成人患者进行比较。
方法
回顾性收集病历资料，包括患者的人口统计学特征、围手术期特征、任何术后并发症及随访情况。比较青少年组和成人组的治疗结果及术后并发症。
结果
总体而言，青少年组和成人组的吻合口及非吻合口并发症发生率分别为40%、40%、10%和63%、44.4%、33.3%。基于无气管造口管和气管支架状态的总体治疗成功率在青少年和成人中分别为90%和92.6%。
结论
对于因插管后气管狭窄接受一期气管切除及端端吻合术治疗的19岁以下患者和成人患者，发现其治疗成功率及吻合口并发症发生率相似。
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