本文選題：喉狹窄 + 氣管狹窄��； 參考：《吉林大學》2010年碩士論文

【摘要】： 喉氣管狹窄是耳鼻咽喉頭頸外科臨床處理中的疑難病癥,嚴重危害患者的身心健康,使之呼吸、發(fā)音、吞咽等能力減弱或喪失。依其狹窄的部位、范圍和程度的不同,手術(shù)方式繁多,但至今尚無適合各類喉氣管狹窄治療滿意的手術(shù)方式。 本文收集2000年1月-2010年1月就診于吉林大學第一醫(yī)院耳鼻咽喉-頭頸外科的22例喉氣管狹窄患者,依據(jù)狹窄的部位、長度、程度及軟骨損傷情況,分別采用置入T形硅膠管11例、喉模4例和支撐喉鏡下激光瘢痕切除術(shù)7例。分別就不同的病因、狹窄范圍和程度及手術(shù)方式對患者的術(shù)后療效進行分析和總結(jié),進一步探討喉氣管狹窄的臨床治療經(jīng)驗。 分析得出:1.術(shù)前應該全面檢查,準確評估喉氣管支架缺損情況、狹窄的程度和受累的范圍,選擇恰當?shù)氖中g(shù)方式。2. I度孤立層面喉氣管狹窄首選支撐喉鏡激光手術(shù)。3. II度以上喉氣管狹窄術(shù)中應充分利用周圍組織瓣進行喉氣管功能重建,并選用合適的支撐模一期植入,對于聲門下區(qū)及氣管的局限性狹窄,應首選狹窄部切除、端端吻合術(shù)。4.對于反復發(fā)作的炎性肉芽輔以小劑量的放射治療,可取得滿意效果。
[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.
【學位授予單位】：吉林大學
【學位級別】：碩士
【學位授予年份】：2010
【分類號】：R767.13

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