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目的 :进一步探讨瘢痕性喉气管完全闭锁的治疗方法。方法 :应用激光烧灼声门裂开成形术 ,用带蒂或游离组织移植喉气管成形术 ,用瘢痕组织喉气管成形术 ,气管端端吻合术 ,沟槽法 期喉气管成形术 ,开胸支气管成形术。结果 :治疗喉气管完全闭锁患者 48例 ,痊愈 46例 ,其中 1次手术治愈 2 6例 ,2～ 3次治愈 2 0例。随访1～ 12年 ,疗效满意。结论 :瘢痕性喉气管完全闭锁难治 ,但如根据病情选择适当的手术方法仍可取得满意的疗效。
Objective: To further explore the treatment of cicatricial laryngotracheal complete closure. Methods: Laser-guided glocal-pyra-sphincterotomy, pedicled or free-flap laryngeal tracheal angioplasty, scar tissue laryngotracheal surgery, tracheal end-to-end anastomosis, tibiofibular laryngeal tracheal angioplasty, Angioplasty. Results: In the treatment of 48 cases of complete laryngotracheal tube blockage, 46 cases were cured, of which 26 cases were cured by one operation and 20 cases were cured by 2 or 3 times. Follow-up 1 to 12 years, with satisfactory results. CONCLUSION: Cicatricial laryngotracheal tube is completely refractory, but satisfactory curative effect can still be obtained if the appropriate operation method is selected according to the condition.