儿童气管软化的手术治疗进展

Surgical advances for airway malacia in chidren

气管软化是儿科患者在纤维支气管镜检查过程中发现的常见气道疾病,临床表现为犬吠样咳嗽、喘息、呼吸暂停等,严重者可危及生命。严重气管软化的患儿往往需要接受手术治疗,手术方式包括气管内/外支架置入术、主动脉固定术、气管固定术等,但目前临床缺乏权威指南指导治疗。本文对儿童气管软化的手术治疗现状与进展进行总结,为临床应用提供参考。

Airway malacia is a common airway disease in children during flexible bronchoscopy.The major clinical manifestations include typical barking cough,wheezing,apnea and even acute life-threatening events.Severe cases tend to require surgical interventions,including intraluminal stenting,external splinting,aortopexy and tracheopexy.However,there is still no clinical consensus for guiding therapy.This review summarized the current status and recent surgical advances for airway malacia in chidren.