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[主动脉固定术作为婴儿先天性气管软骨发育不全和气管软化症的一种外科治疗方法]

[Aortopexy as a surgical treatment method in infantile congenital tracheo-chondrohypoplasia and tracheomalacia].

作者信息

Karsza L, Tasnádi G, Székely E, Kontor E, Katona G

机构信息

Sebészeti Osztály, Fövárosi Onkormányzat Heim Pál Gyermekkórház, Budapest.

出版信息

Orv Hetil. 1998 Feb 1;139(5):241-5.

PMID:9489378
Abstract

Congenital tracheal chondrohypoplasia and tracheomalacia have come to present a significant challenge in recent paediatric surgery. Authors shortly describe their pathology, pathophysiology, symptoms, diagnostic evaluation and outline the most frequency surgical procedures for them. The first three aortopexies in the authors' departments are described in this paper, with particular attention paid to the clinical problems of congenital tracheal chondrohypoplasia and tracheomalacia and the role of this method in surgical treatment, respectively. Aortopexy is quick, easy to carry out and atraumatic for the growing trachea. Authors want to draw attention to the fact that not every form of congenital tracheal chondrohypoplasia and tracheomalacia may be treated by conservative therapy, and that surgical treatment is recommended not only for life threatening forms, but for other severe forms as well.

摘要

先天性气管软骨发育不全和气管软化症在近期的小儿外科领域已成为一项重大挑战。作者简要描述了它们的病理学、病理生理学、症状、诊断评估,并概述了针对它们最常见的外科手术。本文描述了作者所在科室的前三例主动脉悬吊术,分别特别关注了先天性气管软骨发育不全和气管软化症的临床问题以及该方法在手术治疗中的作用。主动脉悬吊术操作迅速、易于实施,且对生长中的气管无创伤。作者希望提请注意,并非每种先天性气管软骨发育不全和气管软化症都可采用保守治疗,手术治疗不仅适用于危及生命的类型,对于其他严重类型也推荐使用。

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