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气管软化症与手术选择:病例系列视角

Tracheomalacia and surgical options: A case series perspective.

作者信息

Møller Helene Holmark, Schmidt Marika Nathalie, Ifaoui Inge B R, Thyregod Hans G H, Christiansen Elisabeth S, Muthialu Nagarajan, Buchvald Frederik F, Nielsen Kim G

机构信息

Danish Pediatric Pulmonary Service, Department of Pediatrics, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.

Department of Surgery and Transplantation, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.

出版信息

Acta Paediatr. 2025 Jan;114(1):59-64. doi: 10.1111/apa.17452. Epub 2024 Oct 8.

Abstract

Tracheomalacia causes considerable morbidity in children, and the best treatment options remain debated. This paper presents a case series of seven Danish children who underwent surgical interventions, such as tracheopexy and aortopexy, demonstrating favourable clinical outcomes, notably with early intervention. We discuss the indications, timing and potential benefits of surgery for tracheomalacia in reducing respiratory symptoms caused by tracheal collapse. Our case series highlights the potential of surgical options in managing tracheomalacia, emphasising the need for standardised protocols, multidisciplinary and international collaboration, and further research to optimise treatment strategies and outcomes.

摘要

气管软化症在儿童中导致相当高的发病率,而最佳治疗方案仍存在争议。本文介绍了一组七名丹麦儿童的病例系列,他们接受了诸如气管固定术和主动脉固定术等外科手术干预,显示出良好的临床结果,尤其是早期干预。我们讨论了气管软化症手术的适应症、时机以及在减轻气管塌陷引起的呼吸道症状方面的潜在益处。我们的病例系列突出了手术方案在治疗气管软化症方面的潜力,强调了制定标准化方案、多学科和国际合作以及进一步研究以优化治疗策略和结果的必要性。

相似文献

1
Tracheomalacia and surgical options: A case series perspective.气管软化症与手术选择:病例系列视角
Acta Paediatr. 2025 Jan;114(1):59-64. doi: 10.1111/apa.17452. Epub 2024 Oct 8.
3
Posterior tracheopexy for severe tracheomalacia.严重气管软化症的后路气管固定术。
J Pediatr Surg. 2017 Jun;52(6):951-955. doi: 10.1016/j.jpedsurg.2017.03.018. Epub 2017 Mar 18.
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Aortopexy for tracheomalacia via a suprasternal incision.经胸骨上切口径路行主动脉固定术治疗气管软化症。
J Pediatr Surg. 2019 Feb;54(2):247-250. doi: 10.1016/j.jpedsurg.2018.10.073. Epub 2018 Nov 7.

本文引用的文献

1
Outcomes of surgical treatment of tracheobronchomalacia in children.儿童气管支气管软化症的手术治疗结果。
Pediatr Pulmonol. 2024 Jul;59(7):1922-1931. doi: 10.1002/ppul.27012. Epub 2024 Apr 17.
4
Anterior and posterior tracheopexy for severe tracheomalacia.严重气管软化症的前后气管固定术
JTCVS Tech. 2022 Dec 13;17:159-163. doi: 10.1016/j.xjtc.2022.11.011. eCollection 2023 Feb.
9
ERS statement on tracheomalacia and bronchomalacia in children.ERS 关于儿童气管软化和支气管软化的声明。
Eur Respir J. 2019 Sep 28;54(3). doi: 10.1183/13993003.00382-2019. Print 2019 Sep.

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