分期切除吻合术治疗多节段气管插管后狭窄

Staged resection and anastomosis for multisegmental post-intubation tracheal stenosis.

作者信息

Abbasi Dezfuoli Azizollah, Zargarani Mahdi, Alhalboni Hasan, Ghorbani Fariba

机构信息

Lung Transplantation Research Center, National Research Institute of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Tracheal Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Interdiscip Cardiovasc Thorac Surg. 2025 May 6;40(5). doi: 10.1093/icvts/ivaf099.

DOI:10.1093/icvts/ivaf099

PMID:40392207

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12209835/

Abstract

Postintubation tracheal stenoses typically involve a single segment of the trachea and are treated by resection and anastomosis. This report presents a rare case of tracheal stenosis affecting 2 distinct segments of the trachea. A 16-year-old girl experienced severe postintubation tracheal stenosis following 2 prolonged intubations. The patient underwent staged resection and anastomosis. The first operation addressed the distal stenosis (intrathoracic). After the failure of non-surgical methods to relieve the proximal stenosis, the second resection was performed. The patient recovered with no signs of airway stenosis or voice problems during a 6-month follow-up period.

摘要

插管后气管狭窄通常累及气管的单个节段，治疗方法为切除并吻合。本报告介绍了一例罕见的气管狭窄病例，累及气管的2个不同节段。一名16岁女孩在经历两次长时间插管后出现严重的插管后气管狭窄。患者接受了分期切除和吻合术。第一次手术处理远端狭窄（胸内）。在非手术方法未能缓解近端狭窄后，进行了第二次切除。在6个月的随访期内，患者康复，无气道狭窄或声音问题的迹象。