婴儿喉外重建在气管切除术脱和避免的结果
James A Leonard1, Daniel L Blumenthal2, Hengameh K Behzadpour2
1Department of Pediatric Otolaryngology, Children's National Medical Center, George Washington University School of Medicine, USA.
喉外重建 (LTR) 有效地帮助婴儿的气管切除术. 然而,在乳腺或多层狭窄症的婴儿中,脱管的成功率较低.
科学领域:
- 儿科手术 儿科手术
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 呼吸系统医学 呼吸系统医学
背景情况:
- 婴儿喉支气管狭窄症带来了重大管理挑战.
- 喉外重建 (LTR) 是对呼吸道重建的关键手术干预.
研究的目的:
- 评估患者特征和外科手术技术,影响LTR接受婴儿的气管切除术和避免.
- 评估LTR在患有喉狭窄症的婴儿队列中的疗效.
主要方法:
- 儿童患有喉狭窄症,接受开放性呼吸道手术的儿科患者 (2008-2021) 的回顾性图表综述.
- 主要结局:气管切除术解管和避免.
- 对患者人口统计学,狭窄度和手术方法 (单阶段与双阶段,支架) 的分析.
主要成果:
- 包括40名婴儿 (平均年龄7.5个月) 患有严重的小肠狭窄症 (70%的3级).
- 与年龄较大的儿童相比,婴儿不太可能有先前存在的气管切除术,经历双阶段手术或需要术后支架.
- 在婴儿 (82.5%) 中,气管切除术脱和避免率与儿童 (75.2%) 相当.
- 然而,患有喉或多层狭窄的婴儿的脱和避开率明显较低,特别是那些接受双阶段手术的婴儿.
结论:
- LTR是一种有效的治疗方法,可以在患有喉狭窄症的婴儿中实现气管管切除和避免气管切除.
- 喉或多层狭窄的存在与成功脱的可能性降低有关.
- 手术方法和狭窄特征是影响婴儿LTR结果的关键因素.
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