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对80名声门下及气管上段炎性狭窄病人采用一次性喉气管切除和修复方法治疗。其中50名由于插管后损伤引起,包括气管内插管,气管切开,环甲膜切开术;7例外伤性狭窄;19例特发性狭窄和4例各种不同原因性狭窄。病人年龄分布在11～85岁之间,女性占多数(49/80)。许多病人患有各种慢性全身疾病。5名病人因外伤或插管引起气管食管瘘。16人术前已有一侧或双侧声带麻痹。大多数病人来院前均经过各种治疗,其中23人因为狭窄和外伤手术过。52例住院前有气管造瘘。所有病人修复前在全麻下行气管镜检查,采用面罩或通过已有的气管造口气管内插管行
80 patients with subglottic and upper tracheal inflammatory stenosis were treated by one-time laryngectomy and repair. Fifty of them were caused by intubation injuries, including endotracheal intubation, tracheostomy and cricothyroidectomy; seven cases of traumatic stenosis; 19 cases of idiopathic stenosis and four cases of various causes of stenosis. Patient age distribution in 11 to 85 years old, the majority of women (49/80). Many patients suffer from various chronic systemic diseases. Five patients had tracheo-esophageal fistulas due to trauma or intubation. 16 patients had one or both vocal cord paralysis before surgery. Most patients went through various treatments before going to their hospital, 23 of whom were surgically treated for stenosis and trauma. 52 patients had tracheostomy before hospitalization. All patients underwent bronchoscopy before general anesthesia, with a mask or with an existing tracheostomy endotracheal tube