摘要
目的:探讨小儿喉气道阻塞的病因、临床特点及其处理方法。方法:分析6例不同原因引起喉气道阻塞患儿的临床资料,总结其临床特点及处理方法。结果:6例患儿中先天性喉囊肿3例;先天性喉蹼(声门型)1例;先天性舌根囊肿1例,先天性环状软骨畸形1例。除1例先天性舌根囊肿外余例均于术前或术中行气道切开,2例先天性喉囊肿行支撑喉镜下囊肿切除术,1例行喉裂开囊肿切除术。1例先天性舌根囊肿,表面麻醉后直接喉镜下穿刺抽取囊液。1例先天性喉蹼行支撑喉镜下CO2激光切除喉蹼,4例患儿均于术后1周堵管,堵管2周拔管。1例先天性环状软骨畸形予喉裂开置喉模术,术后7周堵管,现术后2个月,堵管随访中。结论:小儿喉气道阻塞在明确病因后应早期积极采取适当的手术治疗方法,去除狭窄、重建气道,对改善通气和发音、恢复小儿正常的喉气道功能极其重要。
Objective： To evaluate the clinical etiopathogenisis, the diagnose and the treatment of laryngotracheal stenosis in children. Method： Six patients with laryngotracheal stenosis who had been surgically were reviewed. Result： Three cases of congenital laryngeal cyst, among 2 cases were treated by undertaken endoscopic, one case was treated by laryngofissure. One case with congenital laryngeal web was treated by undertaken endoscopic with CO2 laser resection. One case with congenital tongue base cyst was treated by direct laryngoscope with puncture. One case with congenital cricoiddysplasty was treated bylaryngotracheotomy with stent. One case of traumatic granuloma of trachea was treated by fence-form tracheotomy and inserting T-shape tube. Four patients were successfully decannulated , one patient was cured, one patients were followed-up. Conclusion： The early diagnosis of laryngotracheal stenosis in children was important. The different methods of surgical used here for the laryngotracheal stenosis proved to be effective. The functions of laryngotracheal would been recovered with good voices and satisfactory airway.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2007年第6期246-248,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
儿童
喉疾病
气道梗阻
Children
Laryngeal diseases
Airway obstruction
