【摘要】 目的:观察硅胶T型管在喉气管重建中应用的效果,并探讨其使用方法。方法:采用喉气管重建术治疗喉气管狭窄患者297例,全部患者术前均依靠气管切开通道呼吸,术后均采用硅胶T型管支撑3～6个月。结果:全部患者中,289例(97.3%)治愈拔管,恢复正常呼吸及功能性发声。经1～10年随访,疗效可靠,无再狭窄发生。结论:在喉气管重建中,T形硅胶管是一种安全有效的支撑器,在应用中注意一些细节问题,可避免并发症的发生,获得满意疗效。更多还原

【Abstract】 Objective:To discuss the function and operative method of silicon T tube in laryngotracheal reconstruction.Method:Two hundred and ninety-seven patients of laryngotracheal stenosis were operated with laryngotracheal reconstruction in our department.All of patients were tracheostomy dependent before reconstruction and were placed a silicon T-tube stenting for 3 to 6 months after reconstruction.Result:Two hundred and eighty-nine patients(97.3%) were successfully decannulated with good airway patency and effective phonation.They were followed up from 1 to 10 years,and no recurrence was found.Conclusion:Silicon T-tube is an effective and safe stent for laryngotracheal reconstruction.Paying attention to some application details may avoid the complication and obtain a satisfactory effect.更多还原