舌骨移植喉气管成形术联合T管扩张治疗婴幼儿喉气管狭窄

Therapeutic effect of hyoid bone transplantation laryngotracheal plasty combined with T-tube in the treatment of laryngotracheal stenosis in children

目的探讨舌骨移植喉气管成形术联合T形硅胶管扩张治疗婴幼儿喉气管狭窄的疗效。方法2012~2017年我科收治喉气管狭窄婴幼儿患者7例,均采用自体舌骨移植喉气管成形术联合“T”形硅胶管扩张进行治疗。结果术后随访1~5年,6例患儿术后顺利拔除T管,其中1例因T管两端气管内肉芽生长,行二次手术,延期拔管。1例患儿术后移植舌骨坏死,再次出现狭窄。结论舌骨移植喉气管成形术联合T形硅胶管扩张治疗婴幼儿喉气管狭窄效果肯定。

Objective To investigate the effect of hyoid bone graft laryngotracheal plasty combined with T-tube dilatation on the treatment of laryngotracheal stenosis in children.Methods Data of 7 cases with laryngotracheal stenosis who had received hyoid bone graft laryngotracheal plastics combined with T-tube dilatation during 2012 to 2017 were analyzed retrospectively.Results All the cases were followed up for one to five years.Six patients were successfully decannulated,one of which received the second operation because of the granulation tissue at both ends of the T-tube and decannulation was delayed.One patient failed to decannulate because of the hyoid bone necrosis and restenosis.Conclusions Hyoid bone graft laryngotracheal plasty combined with T-tube dilatation is an effective method for the treatment of laryngotracheal stenosis in children.