McCaffrey T V
Department of Otolaryngology, Mayo Clinic, Rochester, MN 55905.
Otolaryngol Head Neck Surg. 1993 Sep;109(3 Pt 1):468-73. doi: 10.1177/019459989310900313.
Seventy-five cases of laryngotracheal stenosis treated between 1981 and 1991 were reviewed to determine the effectiveness of surgical treatment on the basis of site and severity of stenosis. Decannulation and absence of exertional dyspnea were the criteria of successful management. The treatment methods used were endoscopic laser incision and dilatation, expansion laryngotracheoplasty, and segmental resection. Endoscopic procedures were effective in treating thin (< 1 cm) stenoses in the subglottis and trachea. Laryngotracheoplasty was most effective in treating thick stenoses of the glottis and subglottis. Tracheal stenoses were most effectively treated by segmental resections. The probability for decannulation decreased with longer narrower stenoses and with increasing clinical stage.
回顾了1981年至1991年间治疗的75例喉气管狭窄病例，以根据狭窄部位和严重程度确定手术治疗的有效性。拔管和无劳力性呼吸困难是成功治疗的标准。所采用的治疗方法为内镜激光切开和扩张、喉气管成形术及节段性切除术。内镜手术治疗声门下和气管的薄（<1cm）狭窄有效。喉气管成形术治疗声门和声门下的厚狭窄最有效。气管狭窄最有效的治疗方法是节段性切除术。随着狭窄长度增加、变窄以及临床分期增加，拔管的可能性降低。
