【摘要】：目的:探討胸舌骨肌皮瓣在兒童喉氣管狹窄治療中的作用和適應(yīng)證。方法:回顧性分析1991-08-2014-10期間用胸舌骨肌皮瓣治療的兒童喉氣管狹窄病例20例。其中男15例,女5例;年齡3~14歲,平均9歲。嚴(yán)重程度按Myer-Cotton方法分,Ⅱ度4例,Ⅲ度10例,Ⅳ度6例。狹窄長(zhǎng)度0.3~4.0cm,平均1.8cm。合并單側(cè)聲帶麻痹3例,雙側(cè)2例。結(jié)果:拔管治愈14例,占70%;失敗6例,占30%。其中Ⅱ度狹窄拔管率100%,Ⅲ度70%,Ⅳ度50%。結(jié)論:對(duì)于兒童喉氣管狹窄病例,胸舌骨肌皮瓣是相對(duì)較安全有效的治療方法。但對(duì)嚴(yán)重狹窄病例應(yīng)慎重使用,其失敗率較高。
[Abstract]:Objective: to investigate the role and indication of sternohyoid myocutaneous flap in the treatment of laryngotracheal stenosis in children. Methods: 20 cases of laryngotracheal stenosis in children treated with sternohyoid myocutaneous flap during 1991 / 08 / 2014 / 10 were analyzed retrospectively. the results showed that 20 children with laryngotracheal stenosis were treated with sternohyoid myocutaneous flap. There were 15 males and 5 females with an average age of 9 years. According to Myer-Cotton method, there were 4 cases of second degree, 10 cases of third degree and 6 cases of grade IV. The length of stenosis is 0.3 cm 4.0 cm, with an average of 1.8 cm. There were 3 cases of unilateral vocal cord paralysis and 2 cases of bilateral vocal cord paralysis. Results: extubation was cured in 14 cases (70%) and failure in 6 cases (30%). The extubation rate of second degree stenosis was 100%, grade III 70%, grade IV 50%. Conclusion: sternohyoid myocutaneous flap is a relatively safe and effective method for the treatment of laryngotracheal stenosis in children. However, severe stenosis cases should be carefully used, and the failure rate is high.
【作者單位】： 第四軍醫(yī)大學(xué)唐都醫(yī)院耳鼻咽喉頭頸外科;
【分類號(hào)】：R767.91

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