Dunham M E, Holinger L D, Backer C L, Mavroudis C
Division of Pediatric Otolaryngology, Children's Memorial Hospital, Chicago, Illinois 60614.
Ann Otol Rhinol Laryngol. 1994 May;103(5 Pt 1):351-6. doi: 10.1177/000348949410300503.
We have managed 23 infants and children with severe tracheal stenosis due to congenital complete tracheal rings producing a long-segment stenosis of the trachea. Nineteen (83%) have survived this life-threatening cause of airway obstruction, 7 of whom also had pulmonary artery slings. Pericardial patch tracheoplasty facilitated by partial cardiopulmonary bypass is currently our preferred technique for surgical repair. Eighteen patients (78%) underwent operative intervention, 3 of whom (17%) have died since surgery. The mean follow-up is 4.5 years. Bronchoscopy is essential for preoperative diagnosis and accurate intraoperative incision of the trachea, and is critical for long-term postoperative airway management. The more distal lesions are associated with increased complications and a higher mortality rate.
我们已治疗了23例因先天性完全气管环导致气管长段狭窄的婴幼儿和儿童严重气管狭窄患者。其中19例（83%）在这种危及生命的气道梗阻病因下存活下来，其中7例还伴有肺动脉吊带。目前，我们首选的手术修复技术是在部分体外循环辅助下进行心包补片气管成形术。18例患者（78%）接受了手术干预，其中3例（17%）术后死亡。平均随访时间为4.5年。支气管镜检查对于术前诊断和气管术中精确切开至关重要，对于术后长期气道管理也至关重要。病变位置越靠下，并发症越多，死亡率越高。
