|本期目录/Table of Contents|

[1]王学军,张绍明,张 珩,等.良性声门下狭窄的外科治疗[J].医学研究与战创伤救治(原医学研究生学报),2012,14(03):225.
 WANG Xue-jun,ZHANG Shao-ming,ZHANG Heng,et al.Surgical treatment for benign subglottic stenosis[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2012,14(03):225.
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良性声门下狭窄的外科治疗()

《医学研究与战创伤救治》(原医学研究生学报)[ISSN:1672-271X/CN:32-1713/R]

卷:
第14卷
期数:
2012年03期
页码:
225
栏目:
出版日期:
2012-05-22

文章信息/Info

Title:
Surgical treatment for benign subglottic stenosis
文章编号:
1672-271X(2012)03-0225-03
作者:
王学军1张绍明2张 珩2才志刚2徐小平2汪 雷2
1.200335 上海,南京军区上海医疗保健中心;2.200052 上海,解放军455医院心胸外科
Author(s):
WANG Xue-jun1ZHANG Shao-ming2ZHANG Heng2CAI Zhi-gang2XU Xiao-ping2WANG Lei2.
1.Shanghai Health Care Center of Nanjing Military Region,Shanghai 200335,China;2.Department of Cardiothoracic Surgery,455 Hospital of PLA,Shanghai 200052,China
关键词:
声门下狭窄外科治疗围手术期
Keywords:
subglottic stenosis surgical treatment perioperative period
分类号:
R767.44
DOI:
-
文献标志码:
A
摘要:
目的 探讨良性声门下狭窄手术治疗方式和围手术期处理要点。方法 回顾分析良性声门下狭窄7例的临床资料,均行声门下狭窄切除(部分环状软骨切除)、甲状软骨-气管一期吻合术。结果 围手术期无死亡病例。除2例术后早期出现一过性误吸外,无其他并发症发生。患者随访期间无再狭窄发生,生活质量满意。结论 部分环状软骨切除、甲状软骨-气管一期吻合术是治疗良性声门下狭窄的安全、有效术式。细致的术前评估和准备及预防控制感染是围手术期处理的关键。
Abstract:
Objective To explore the surgical treatment and perioperative management of benign subglottic stenosis.Methods The clinical data of 7 cases of benign subglottic stenosis were retrospectively studied.All patients underwent partial cricoidectomy with primary thyrotracheal anastomosis.Results There was no death during the perioperative period except that transient aspiration happened in 2 patients,no other minor or major complications were observed.All patients led a life of high quality,none of them suffered from subglottic restenosis.Conclusion The partial cricoidectomy with primary thyrotracheal anastomosis technique was a safe and effective method for the treatment of benign subglottic stenosis.Meticulous preoperative assessment and preparation,preventing infection,and controlling infection were crucial in the perioperative period.

参考文献/References:

[1]Cordos I,Bolca C,Paleru C,et al.Sixty tracheal resections--single center experience[J].Interact Cardiovasc Thorac Surg,2009,8(1):62-65.
[2]Alvarez-Buylla BM,Vázquez BJC,González-Botas JH,et al.Surgical treatment of subglottic stenosis[J].Acta Otorrinolaringol Esp,2010,61(4):282-286.
[3]Solans-Laque R,Bosch-Gil J,Canela M,et al.Clinical features and therapeutic management of subglottic stenosis in patients with Wegeners granulomatosis[J].Lupus,2008,17(9):832-836.
[4]Valdez TA,Shapshay SM.Idiopathic subglottic stenosis revisited[J].Ann Otol Rhinol Laryngol,2002,111(8):690-695.
[5]Schroeder JW Jr,Holinger LD.Congenital laryngeal stenosis[J].Otolaryngol Clin North Am,2008,41(5):865-875.
[6]刘万林,常永和,嵇友林,等.球囊扩张支气管成形术治疗良性支气管狭窄[J].东南国防医药,2007,9(6):442-443.
[7]Bakthavachalam S,McClay JE.Endoscopic management of subglottic stenosis[J].Otolaryngol Head Neck Surg,2008,139(4):551-559.
[8]Wolter NE,Ooi EH,Witterick IJ.Intralesional corticosteroid injection and dilatation provides effective management of subglottic stenosis in Wegeners granulomatosis[J].Laryngoscope,2010,120(12):2452-2455.
[9]Roediger FC,Orloff LA,Courey MS.Adult subglottic stenosis:management with laser incisions and mitomycin-C[J].Laryngoscope,2008,118(9):1542-1546.
[10]Yamamoto K,Kojima F,Tomiyama K,et al.Meta-analysis of therapeutic procedures for acquired subglottic stenosis in adults[J].Ann Thorac Surg,2011,91(6):1747-1753.
[11]Pearson FG,Gullane P.Subglottic resection with primary tracheal anastomosis including synchronous laryngotracheal reconstruction[J].Acta Otorhinolaryngol Belg,1995,49(4):389-396.
[12]Couraud L,Jougon JB,Velly JF.Surgical treatment of nontumoral stenoses of the upper airway[J].Ann Thorac Surg,1995,60(2):250-259.
[13]Jaquet Y,Lang F,Pilloud R,et al.Partial cricotracheal resection for pediatric subglottic stenosis:long-term outcome in 57 patients[J].J Thorac Cardiovasc Surg,2005,130(3):726-732.
[14]Macchiarini P,Verhoye JP,Chapelier A,et al.Partial cricoidectomy with primary thyrotracheal anastomosis for postintubation subglottic stenosis[J].J Thorac Cardiovasc Surg,2001,121(1):68-76.
[15]Sandu K,Monnier P.Cricotracheal resection[J].Otolaryngol Clin North Am,2008,41(5):981-998.
[16]Ikonomidis C,George M,Jaquet Y,et al.Partial cricotracheal resection in children weighing less than 10 kilograms[J].Otolaryngol Head Neck Surg,2010,142(1):41-47.
[17]Marulli G,Rizzardi G,Bortolotti L,et al.Single-staged laryngotracheal resection and reconstruction for benign strictures in adults[J].Interact Cardiovasc Thorac Surg,2008,7(2):227-230.
[18]Rea F,Callegaro D,Loy M,et al.Benign tracheal and laryngotracheal stenosis:surgical treatment and results[J].Eur J Cardiothorac Surg,2002,22(3):352-356.
[19]Ciccone AM,De Giacomo T,Venuta F,et al.Operative and non-operative treatment of benign subglottic laryngotracheal stenosis[J].Eur J Cardiothorac Surg,2004,26(4):818-822.
[20]Abbasidezfouli A,Akbarian E,Shadmehr MB,et al.The etiological factors of recurrence after tracheal resection and reconstruction in post-intubation stenosis[J].Interact Cardiovasc Thorac Surg,2009,9(3):446-449.
[21]George M,Ikonomidis C,Jaquet Y,et al.Partial cricotracheal resection in children:potential pitfalls and avoidance of complications[J].Otolaryngol Head Neck Surg,2009,141(2):225-231.

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备注/Memo

备注/Memo:
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更新日期/Last Update: 2012-05-20