山东大学学报 (医学版) ›› 2020, Vol. 58 ›› Issue (7): 72-76.doi: 10.6040/j.issn.1671-7554.0.2020.0125
• • 上一篇
郭志华1,赵大庆1,邢园2,王薇1,梁乐平1,杨静1,赵倩倩1
GUO Zhihua1, ZHAO Daqing1, XING Yuan2, WANG Wei1, LIANG Leping1, YANG Jing1, ZHAO Qianqian1
摘要: 目的 探讨Ⅰ期气管、环气管部分切除端端吻合术在治疗重度颈段气管狭窄中的有效性、适应证和风险因素。 方法 回顾性分析2015年3月至2019年11月采用Ⅰ期部分气管、环气管切除端端吻合术治疗的重度颈段气管狭窄患者29例。其中男19例,女10例,17~51岁,平均31岁。手术方法包括气管-气管端端吻合(18例)、环气管吻合(9例)和甲状软骨气管吻合(2例)。狭窄程度按照Myer-Cotton法分为Ⅲ度18例,Ⅳ度11例。 结果 狭窄长度1~4 cm,平均2.5 cm。一次性手术成功拔管25例(86%)。术后并发症:皮下气肿1例,再次狭窄4例,吻合口裂1例,暂时性声带麻痹1例。 结论 Ⅰ期端端吻合术是一种有效治疗重度颈段气管狭窄的手术方法,手术成功率高。严格的术前适应证选择和术者经验是手术成功的关键。
中图分类号:
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