Jaubert de Beaujeu M, Louis D
Chir Pediatr. 1984;25(4-5):249-60.
Report of seven cases of congenital tracheal and bronchial stenosis in infants, successfully treated by endo-resection (2 cases), tracheoplasty (1 case) and resection with anastomosis (4 cases). The review of several cases of literature let to emphasize some points: the frequency of severe manifestations since neonatal period and during the first months leading to repeated hospitalisations with the treatening of broncho-pulmonar infections; the necessity of early diagnosis and complete anatomic evaluation of stenosis, which sometimes requires to be promptly treated in front of a sudden recurrence of respiratory distress; at last, improvements of reconstructive surgical technique, tracheoplasty for diffuse stenosis, endo-resection or resection with anastomosis for segmental lesions, which the results point out the possibilities and indications of that surgery in the infants.
7例婴儿先天性气管和支气管狭窄的报告,通过内镜切除(2例)、气管成形术(1例)和切除吻合术(4例)成功治疗。对几例文献的回顾强调了几点:自新生儿期及最初几个月以来严重表现的频率,导致因支气管肺部感染的威胁而反复住院;早期诊断和对狭窄进行完整解剖评估的必要性,有时在呼吸窘迫突然复发时需要立即治疗;最后,重建手术技术的改进,弥漫性狭窄采用气管成形术,节段性病变采用内镜切除或切除吻合术,结果指出了该手术在婴儿中的可能性和适应证。