喉气管狭窄的手术治疗

Surgical treatment of laryngotracheal stenosis

目的 :提高喉气管狭窄的手术疗效。方法 :对 70例不同狭窄部位和范围的患者 ,根据病变具体情况 ,分别采用不同的手术整复方法。结果 :65例治愈 ,治愈率为 92 .9% ;术后扩张子放置时间平均为 14 .8d ,拔管时间平均为 82 .0d。结论 :喉气管狭窄的治疗应根据不同的病变部位和范围采取不同的处理原则和手术方法 ;

Objective:To improve the curative effects of laryngotracheal stenosis.Method:Seventy patients treated for laryngotracheal stenosis on the different pathologic condition of the larynx and trachea were retrospectively reviewed. Different operative reconstruction methods were used accordingly.Result:Among 70 patiens,65( 92.9 %) patients succeed in decannulation. The average course of usage of stent was 14.8 days, the average course from opration to decannulation was 82.0 days.Conclusion:The choice of surgical procedure must be decided on the pathologic conditions of the larynx and trachea. Eliminating the defect of the mucosa and reconstructing a wide enough airway was the key to improve the curative effect.