胸舌骨肌皮瓣治疗儿童喉气管狭窄的临床应用

发布时间：2019-08-05 16:23

【摘要】：目的:探讨胸舌骨肌皮瓣在儿童喉气管狭窄治疗中的作用和适应证。方法:回顾性分析1991-08-2014-10期间用胸舌骨肌皮瓣治疗的儿童喉气管狭窄病例20例。其中男15例,女5例;年龄3~14岁,平均9岁。严重程度按Myer-Cotton方法分,Ⅱ度4例,Ⅲ度10例,Ⅳ度6例。狭窄长度0.3~4.0cm,平均1.8cm。合并单侧声带麻痹3例,双侧2例。结果:拔管治愈14例,占70%;失败6例,占30%。其中Ⅱ度狭窄拔管率100%,Ⅲ度70%,Ⅳ度50%。结论:对于儿童喉气管狭窄病例,胸舌骨肌皮瓣是相对较安全有效的治疗方法。但对严重狭窄病例应慎重使用,其失败率较高。
[Abstract]:Objective: to investigate the role and indication of sternohyoid myocutaneous flap in the treatment of laryngotracheal stenosis in children. Methods: 20 cases of laryngotracheal stenosis in children treated with sternohyoid myocutaneous flap during 1991 / 08 / 2014 / 10 were analyzed retrospectively. the results showed that 20 children with laryngotracheal stenosis were treated with sternohyoid myocutaneous flap. There were 15 males and 5 females with an average age of 9 years. According to Myer-Cotton method, there were 4 cases of second degree, 10 cases of third degree and 6 cases of grade IV. The length of stenosis is 0.3 cm 4.0 cm, with an average of 1.8 cm. There were 3 cases of unilateral vocal cord paralysis and 2 cases of bilateral vocal cord paralysis. Results: extubation was cured in 14 cases (70%) and failure in 6 cases (30%). The extubation rate of second degree stenosis was 100%, grade III 70%, grade IV 50%. Conclusion: sternohyoid myocutaneous flap is a relatively safe and effective method for the treatment of laryngotracheal stenosis in children. However, severe stenosis cases should be carefully used, and the failure rate is high.
【作者单位】：第四军医大学唐都医院耳鼻咽喉头颈外科;
【分类号】：R767.91

【相似文献】