Coiffier T, Laccourreye O, Naudo P, Laccourreye H, Brasnu D
Service d'ORL et de chirurgie de la face et cou, Université Paris V, Hôpital Laennec.
Ann Otolaryngol Chir Cervicofac. 1995;112(4):159-63.
Palliative desobstruction was performed with laser and a Montgomery T tube in 11 patients with tracheal or cricotracheal stenosis. Surgery was theoretically indicated for these long thick stenotic areas with underlying diseased cartilage but could not be performed due to the poor clinical status of the patients or recurrence after anastomosis. Calibration with the Montgomery T tube was maintained for a mean of 5 years. The T tube was removed in 3 patients and was well tolerated in 4. Two patients died during the course of the study and two others required a definitive tracheotomy. Palliative treatment with Laser desobstruction and long-term calibration can be a useful alternative to conventional surgery.
对11例气管或环状气管狭窄患者采用激光和蒙哥马利T形管进行姑息性解除梗阻。理论上，对于这些伴有潜在软骨病变的长而厚的狭窄区域应进行手术，但由于患者临床状况不佳或吻合术后复发而无法进行手术。蒙哥马利T形管校准平均维持5年。3例患者取出了T形管，4例患者耐受性良好。2例患者在研究过程中死亡，另外2例患者需要进行确定性气管切开术。激光解除梗阻和长期校准的姑息治疗可以成为传统手术的一种有用替代方法。
