Lawless S T, Cook S, Luft J, Jasani M, Kettrick R
Department of Pediatric Anesthesia/Critical Care, Alfred I. duPont Institute, Wilmington, DE 19899, USA.
Laryngoscope. 1995 Feb;105(2):198-202. doi: 10.1288/00005537-199502000-00017.
The objective of this study was to review experience, outcome, and satisfaction after a laryngotracheal separation (LTS) procedure in pediatric patients. Chart reviews and phone questionnaires were used. Factors reviewed included hospitalizations and infections prior to and after LTS, morbidity, and impact on quality of life. Twenty-one pediatric patients ranging in age from 8 to 172 months underwent LTS. Follow-up time ranged from 1 to 49 months. Complications were minor. Eighty-eight percent of patients had fewer hospitalizations or were discharged for the first time after LTS. Number of pneumonias and suctioning frequency decreased, mobility increased in patients with prior tracheostomies, and care requirements decreased in 95% of patients. Parents reported satisfaction and improved quality of life. LTS is a low-risk, successful procedure which increases quality of life and decreases morbidity in pediatric patients with irreversible upper airway dysfunction.
本研究的目的是回顾小儿患者行喉气管分离术（LTS）后的经验、结果及满意度。采用病历回顾和电话问卷调查的方式。回顾的因素包括LTS前后的住院情况和感染、发病率以及对生活质量的影响。21例年龄在8至172个月的小儿患者接受了LTS。随访时间为1至49个月。并发症较轻微。88%的患者住院次数减少或在LTS后首次出院。肺炎次数和吸痰频率降低，既往有气管造口术的患者活动能力增强，95%的患者护理需求减少。家长报告了满意度和生活质量的改善。LTS是一种低风险、成功的手术，可提高不可逆上气道功能障碍小儿患者的生活质量并降低发病率。
