Otto W, Szlenk Z, Paczkowski P, Gackowski W, Najnigier B, Karwowski A
Clinic of General Surgery and Liver Diseases, Medical Academy of Warsaw, Poland.
Otolaryngol Head Neck Surg. 1995 Sep;113(3):211-4. doi: 10.1016/S0194-5998(95)70108-7.
We present the technique and results of endoscopic neodymium-yttrium aluminum garnet laser treatment of benign tracheal stenoses. This therapy was used in 15 patients with tracheal stenoses. Benign tracheal granulomas were caused by prolonged tracheal intubation in eight patients, permanent maintenance of tracheostomy tube in five patients, and nonspecific inflammatory process of the trachea in two patients. The clinical picture was dominated by dyspnea and stridor. The achievement of normal tracheal patency required several laser therapy sessions, repeated at 5- to 7-day intervals. In 30% of patients additional laser vaporization was required as well. The immediate and short-term results were encouraging; in all cases the normal tracheal lumen was restored, resulting in alleviation of patients' symptoms.
我们介绍了内镜下钕钇铝石榴石激光治疗良性气管狭窄的技术和结果。该疗法应用于15例气管狭窄患者。8例患者的良性气管肉芽肿由长期气管插管引起，5例患者由气管造口管长期留置引起，2例患者由气管非特异性炎症过程引起。临床表现以呼吸困难和喘鸣为主。要实现气管通畅正常需要进行数次激光治疗，每隔5至7天重复一次。30%的患者还需要额外的激光汽化治疗。近期和短期效果令人鼓舞；在所有病例中，气管管腔均恢复正常，患者症状得到缓解。
