喉气管狭窄的临床病例分析

发布时间：2018-06-17 09:06

本文选题：喉狭窄 + 气管狭窄　；参考：《吉林大学》2010年硕士论文

【摘要】： 喉气管狭窄是耳鼻咽喉头颈外科临床处理中的疑难病症,严重危害患者的身心健康,使之呼吸、发音、吞咽等能力减弱或丧失。依其狭窄的部位、范围和程度的不同,手术方式繁多,但至今尚无适合各类喉气管狭窄治疗满意的手术方式。本文收集2000年1月-2010年1月就诊于吉林大学第一医院耳鼻咽喉-头颈外科的22例喉气管狭窄患者,依据狭窄的部位、长度、程度及软骨损伤情况,分别采用置入T形硅胶管11例、喉模4例和支撑喉镜下激光瘢痕切除术7例。分别就不同的病因、狭窄范围和程度及手术方式对患者的术后疗效进行分析和总结,进一步探讨喉气管狭窄的临床治疗经验。分析得出:1.术前应该全面检查,准确评估喉气管支架缺损情况、狭窄的程度和受累的范围,选择恰当的手术方式。2. I度孤立层面喉气管狭窄首选支撑喉镜激光手术。3. II度以上喉气管狭窄术中应充分利用周围组织瓣进行喉气管功能重建,并选用合适的支撑模一期植入,对于声门下区及气管的局限性狭窄,应首选狭窄部切除、端端吻合术。4.对于反复发作的炎性肉芽辅以小剂量的放射治疗,可取得满意效果。
[Abstract]:Laryngotracheal stenosis is a difficult disease in the clinical treatment of Otolaryngology and head and neck surgery, which seriously endangering the physical and mental health of the patients. The ability to breathe, pronunciation and swallowing is weakened or lost. There are various surgical methods according to their narrow areas, range and degree, but there are no satisfactory surgical methods suitable for various types of laryngotracheal stenosis.
In this paper, 22 cases of laryngotracheal stenosis who were diagnosed in the No.1 Hospital of Jilin University otorhinolaryngology and head and neck surgery in January -2010 January 2000 were collected in 11 cases, 4 cases of larynx mold and 7 cases of laser scar resection under the supporting laryngoscope according to the narrow location, length, degree and cartilage damage. Narrow range and degree of operation and operation methods were analyzed and summarized, and the clinical treatment experience of laryngotracheal stenosis was further explored.
The results were as follows: 1. a comprehensive examination should be made before operation to accurately assess the condition of laryngotracheal stents, the degree of stenosis and the extent of involvement, the choice of appropriate surgical methods for the.2. I degree of isolated laryngotracheal stenosis is the first choice for the laryngoscope laser surgery.3. II degrees above the laryngotracheal stenosis, and the reconstruction of the laryngotracheal function should be fully utilized by the surrounding tissue flap. In the first stage of the implantation of a suitable support mode, the narrowing of the subglottic region and trachea should be narrowed, and the first choice for the resection of the stenosis is the first choice. The end end anastomosis.4. has a satisfactory effect on the repeated attacks of inflammatory granulation with small dose of radiation.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：R767.13

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