喉气管狭窄的病因及其临床特点分析

Etiology and Clinical Characteristics of Laryngotracheal Stenosis

高鼎淇;李术芹;崔鹏程;马瑞娜;

1:空军军医大学第二附属医院耳鼻咽喉头颈外科

2:空军军医大学第二附属医院呼吸与危重症医学科

摘要
目的总结喉气管狭窄的病因及临床特点,为其临床诊治提供参考。方法分析2016年1月至2017年12月246例喉气管狭窄患者的临床资料,总结其病因、发病年龄、性别、狭窄的部位和严重程度等特点。结果 246例患者中,男167例,女80例;气管插管及气管切开造成喉气管狭窄121例(49.19%),创伤46例(18.70%),良恶性肿瘤术后喉狭窄35例(14.23%),特发性喉气管狭窄26例(10.60%),其他原因18例(7.32%)。按照狭窄部位分型,声门上狭窄8例(3.25%,8/26),声门狭窄69例(28.05%,69/246),声门下和气管狭窄167例(67.89%,167/246),贯声门型狭窄2例(0.81%,2/246)。167例声门下和气管狭窄病例中,按照Cotton-Myer分度评估狭窄程度,Ⅰ度2例占1.20%(12/167),Ⅱ度19例占7.12%(19/167),Ⅲ度狭窄87例占52.10%(87/167),Ⅳ度狭窄59例占35.33%(59/167)。结论气管插管及气管切开是造成本组病例喉气管狭窄的主要病因,以声门下和气管狭窄为主,狭窄程度多为Ⅲ度及Ⅳ度狭窄。
关键词
喉气管狭窄;病因;临床特点;喉气管重建术;气管插管
基金项目(Foundation):
作者
高鼎淇;李术芹;崔鹏程;马瑞娜;
参考文献

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