SLIDE TRACHEOPLASTY FOR LONG-SEGMENT CONGENITAL TRACHEAL STENOSIS
SLIDE TRACHEOPLASTY FOR LONG-SEGMENT CONGENITAL TRACHEAL STENOSIS
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DOI：
10.1016/0003-4975(94)90714-5
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发表时间：
1994-09-01
影响因子：
4.6
通讯作者：
GRILLO, HC
中科院分区：
文献类型：
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作者：
GRILLO, HC
长的先天性气管狭窄的切除和重建往往是不可能的或导致过度的吻合紧张。使用心包或软骨补片的前气管成形术可能导致肉芽组织需要反复进行支气管镜检查、气管造口术和支架植入，并可能产生复发性狭窄。气管成形术可以通过在中点处分开狭窄、切开近端和远端来进行。在相对的前表面和后表面上垂直地变窄的节段并且将这些节段滑动到一起。狭窄段缩短了一半，周长增加了一倍，腔内横截面增加了四倍。入路为颈部或部分胸骨切开术。不需要心脏搭桥。4名患者（年龄：3个月、31/2岁、19岁和19岁）接受了气管长度36%至83%狭窄的治疗。血液供应没有受到影响。愈合良好，并发症极少。
Resection and reconstruction of long congenital tracheal stenosis often is impossible or results in excessive anastomotic tension. Anterior tracheoplasty using a patch of pericardium or cartilage may result in granulation tissue needing repeated bronchoscopies, tracheostomy, and stents and may produce recurrent stenosis. Tracheoplasty may be performed by dividing the stenosis at midpoint, incising the proximal and distal. narrowed segments vertically on opposite anterior and posterior surfaces and sliding these together. The stenotic segment is shortened by half, the circumference doubled, and the lumenal cross-section quadrupled. Approach is cervical or with partial sternotomy. Cardiopulmonary bypass is not necessary. Four patients (ages: 3 months, 31/2 years, 19 years, and 19 years) were so treated for stenosis of 36% to 83% of tracheal length. Blood supply was not impaired. Healing was excellent and complications were minimal.