摘要
目的探讨针形电刀联合球囊扩张在气管瘢痕性狭窄中的应用和疗效。方法回顾性分析我科2014年4月至2016年1月32例应用针形电刀治疗气管切开或气管插管导致的气管狭窄患者的临床资料。所有患者均在全身麻醉下，治疗方法：①给予针形电刀环形切除瘢痕组织联合球囊扩张术；②针形电刀放射状切开瘢痕组织后联合高压球囊扩张术。结果18例单纯网眼状狭窄患者经过治疗后，气短症状明显改善，狭窄部位明显扩张，气管狭窄部位未见明显回缩；14例复杂狭窄患者中，混合性缩窄患者3例临床治愈，3例治疗后有效。8例瓶颈样狭窄患者中，3例达到临床治愈，1例有效，4例患者治疗后无效。结论针形电刀在良性中心气道狭窄治疗方面可以起到重要作用，特别适用于狭窄部位瘢痕坚韧或狭窄较长的患者，值得在临床上推广和应用。
Objective To investigate the application and effect of needle knife in the treatment of tracheal stenosis. Methods Retrospective analysis of the clinical data of 32 patients with tracheal stenosis caused by tracheotomy or tracheal intubation in our department from April 2014 to January 2016. All patients were under general anesthesia, and the treatment methods were： （2） giving needle knife ring excision of fibrotic tissue and combined with balloon dilation; （1） giving needle knife radial incision of scar tissue and combined with balloon dilation. Results after treatment, the symptoms, such as shortness of breath, of 18 cases with simple mesh stenosis were markedly improved, the stenosis dilated, and trachea stenosis did not obvious retraction; and for the 14 cases with complex stenosis, 3 mixed constriction patients were clinical cure, 3 mixed constriction patients were effective, 3 bottle neck stenosis patients were clinically cured, 1 bottle neck stenosis patients were effective, and 4 cases were ineffective after treatment. Conclusions Needle shaped electric knife can play an important role in the treatment of benign central airway stenosis, especially in patients with narrow scar or longer stenosis, which is worthy of popularization and application in clinical practice.
出处
《国际呼吸杂志》
2018年第3期197-200,共4页
International Journal of Respiration
关键词
针形电刀
网眼状狭窄
复杂性狭窄
瘢痕气管狭窄
Electrocautery needle knife
Web-like stenosis
Complex stenosis
Tracheal fibroticstenosis
