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目的 探讨小儿先天性胸段气管狭窄的有效治疗方法。方法 采用气管切开术 ,以硬性支气管镜从颈部切口进入狭窄区扩张及通过硬性支气管镜放球囊扩张管进行扩张。结果 本组 5例中 3例经球囊扩张 1～ 5次 ,管腔扩大 ,拔除了气管套管。 1例硬管扩张后长肉芽 ,行气管狭窄段切除 ,端端吻合术。另 1例因气管下段及左右支气管口广泛狭窄 ,扩张效果不佳 ,行气管成形术。结论 胸段气管狭窄早期以扩张治疗为主 ,球囊扩张管对气管粘膜损伤小 ,安全有效 ,值得临床借鉴。
Objective To investigate the effective treatment of congenital thoracic tracheal stenosis in children. Methods Tracheotomy was performed with a rigid bronchoscope that dilated into the stenotic region from the neck incision and dilated by a rigid bronchoscope with a balloon dilation tube. Results The group of 5 patients in 3 cases of balloon dilation 1 to 5 times, lumen enlargement, removal of the tracheal tube. One case had long granulation after dilatation of the ducts, resection of the tracheal stenosis and end anastomosis. Another case of tracheobronchial and left and right bronchial mouth wide and narrow expansion ineffective tracheotomy. Conclusions Early treatment of thoracic tracheal stenosis is dominated by dilatation therapy. Balloon dilatation tracheal injury is less invasive, safe and effective, and is worthy of clinical reference.