Mehta A C, Harris R J, De Boer G E
Division of Pulmonary and Critical Care Medicine, Cleveland Clinic Foundation, Ohio, USA.
Clin Chest Med. 1995 Sep;16(3):401-13.
Endoscopic management of benign airway stenosis is successful in the majority of patients if patients are selected properly. Predictive anatomic features have been identified that aid patient selection. Moreover, mucosal sparing techniques should be used at all times. Given its clinical effectiveness and low complication rate, endoscopic management should remain the first option for subglottic and tracheal stenosis. Endoscopic management does not preclude the use of open surgical procedures if necessary. Future studies should be directed toward refining and optimizing the endoscopic operative technique.
如果患者选择得当，大多数良性气道狭窄患者的内镜治疗是成功的。已确定有助于患者选择的预测性解剖特征。此外，应始终采用保留黏膜技术。鉴于其临床有效性和低并发症发生率，内镜治疗应仍然是声门下和气管狭窄的首选治疗方法。如有必要，内镜治疗并不排除使用开放手术。未来的研究应致力于改进和优化内镜手术技术。
