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喉和气管狭窄是耳鼻咽喉科和胸外科领域中一个比较棘手的课题。特别对于瘢痕所引起的喉和气管狭窄,既往多采用固定扩张法气管镜扩张法,或外科成形术,不但适应证有限,且均有不足之处。1965年Montgomery首先应用“T”形管进行喉及颈段气管瘢痕狭窄扩张治疗,取得满意疗效。1984年以来,我院应用国产硅胶“T”形管,对喉及颈段气管、胸段气管狭窄病人4例,进行置入扩张治疗,亦获较好疗效,介绍如下。
Laryngeal and tracheal stenosis is a thorny issue in the field of otolaryngology and thoracic surgery. Especially for the scar caused by laryngeal and tracheal stenosis, the past, the use of fixed dilatation bronchoscopy dilatation method, or surgical angioplasty, not only limited indications, and have deficiencies. 1965 Montgomery first use of “T” -shaped tube throat and cervical tracheal scar expansion dilation treatment, and achieved satisfactory results. Since 1984, our hospital application of domestic silicone “T” -shaped tube, throat and cervical section of the trachea, thoracic tracheal stenosis in 4 patients, for expansion therapy, also received good effect, are described below.