论文部分内容阅读
文献报道的CCA手术组的例数均较少,很难比较各种手术径路(经鼻,经中隔,经腭)是否伴其他综合征及疗效的影响。为评估手术前、后并发GER对手术疗效的影响,对4例患儿做了前瞻性研究。4例中女3,男1,2例伴有综合征,另2例无,出生时均曾插入通 气管通气,术前均行CT确诊,均为双侧CCA,3例为骨性,均经腭手术后置入外径4.6mm硅胶管扩张,1例为膜性,经鼻术后置外径4.3mm聚氯乙烯管扩张,固定扩张时间为5～16周,手术年龄:2例4岁,另2例分别为7和17岁。3例于除去扩张管后曾用经鼻CO_2
The number of cases reported in the CCA surgery group is relatively small, it is difficult to compare various surgical approaches (nasal, transsexual, via the palate) with other syndromes and the effect of the impact. To assess the effect of preoperative and postoperative concurrent GER on the efficacy of surgery, a prospective study of 4 children was performed. 4 cases of female 3, 1, 2 patients with syndrome, the other two cases no, at birth have been inserted into the ventilation tube, preoperative CT were confirmed, both bilateral CCA, 3 cases of bony, both After palatal surgery, an external diameter of 4.6 mm was placed in the silicone tube for dilatation. One patient was membranous. After the nasal operation, an external diameter of 4.3 mm PVC tube was dilated. The fixed dilatation time was 5 to 16 weeks. The operative age was 2 Years old, the other two cases were 7 and 17 years old. Three patients had nasal CO_2 after removing the dilation tube