气管镜下球囊扩张术结合冷冻治疗婴幼儿声门下狭窄临床研究

发布时间：2018-05-04 05:52

  本文选题：声门下狭窄 + 球囊扩张成形术　； 参考：《中国实用儿科杂志》2014年12期

【摘要】：目的气管镜下球囊扩张成形术配合冷冻治疗婴幼儿声门下狭窄,并探讨这类新技术的疗效、治疗时机以及安全性。方法上海儿童医学中心自2009年7月至2014年5月对28例1个月至3岁的SGS患儿进行气管镜下球囊扩张成形术配合二氧化碳(CO2)治疗,并对不同类型声门下狭窄微创治疗的疗效、并发症及转归进行综合分析。结果将婴幼儿声门下狭窄按严重程度分为Ⅰ~Ⅲ度,按照狭窄成因分为蹼样狭窄和疤痕狭窄。其中Ⅰ度狭窄病例16例,其中蹼样狭窄球囊扩张有效8例,综合治疗后有效9例,疤痕狭窄球囊扩张有效1例,综合治疗后有效4例;Ⅱ度狭窄病例8例,蹼样狭窄球囊扩张有效2例,综合治疗后有效4例,疤痕狭窄球囊扩张有效1例,综合治疗后有效2例;Ⅲ度狭窄病例4例,蹼样狭窄综合治疗后有效1例,疤痕狭窄综合治疗后有效1例。结论通过MSCT和气管镜评估,对于婴幼儿声门下狭窄程度和成因进行分级分层,再选择合适治疗方案,有助于改善预后,提高声门下狭窄患儿生存质量。
[Abstract]:Objective to evaluate the efficacy, timing and safety of endoscopy balloon dilatation combined with cryotherapy in the treatment of infantile subglottic stenosis. Methods from July 2009 to May 2014, 28 patients with SGS aged from 1 month to 3 years old were treated by balloon dilatation combined with CO _ 2 (CO _ 2) under tracheoscope, and the results of minimally invasive treatment for different types of subglottic stenosis were observed in Shanghai Children's Medical Center from July 2009 to May 2014. Complications and outcomes were analyzed. Results Infant subglottic stenosis was divided into 鈪，

本文编号：1841854