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首页> 外文期刊>Asian journal of surgery >Surgical treatment of postintubation tracheal stenosis: A retrospective 22-patient series from a single center
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Surgical treatment of postintubation tracheal stenosis: A retrospective 22-patient series from a single center

机译:插管后气管狭窄的手术治疗:来自单个中心的回顾性22例患者的研究

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Summary Background/Objective We aimed to present cases of postintubation tracheal stenosis (PITS), all due to long-term intubation and treated surgically in a university hospital, and to discuss them in light of the literature. Methods In this retrospective study, 22 patients who were treated with tracheal resection and reconstruction due to PITS were included. Demographics, intubation characteristics, localization of stenosis, surgical technique and material, postoperative complications, and survival of patients were recorded. Results The mean intubation duration was 16.95 days with a median of 15.00 days. Collar incision was applied in 19 cases (86.4%); in two cases (9.1%) a median sternotomy incision was used; and in the remaining case (4.5%), a right thoracotomy incision was made. The mean tracheal stenosis length was 2.14?cm (mean excision length, 2.5?cm). In 17 cases (77.3%), the anterior walls were supported with vicryl (polyglactin) suture one by one. No postoperative complications were observed in 12 cases (54.5%). No recurrence developed during the long-term follow-up of 15 of the 22 patients (68.2%). Two patients (9.1%) died in the early stages after surgery, and five patients (22.7%) had a stent inserted due to restenosis. Conclusion Tracheal resection and end-to-end anastomosis are the most efficient techniques in cases without medical contraindications, despite emerging stent or endoscopic procedures. Endoscopic interventions can be suggested as an alternative to surgery in patients for whom surgery cannot be performed or who develop recurrence.
机译:概述背景/目的我们旨在介绍所有因长期插管而在大学医院接受手术治疗的插管后气管狭窄(PITS)病例,并结合文献进行讨论。方法这项回顾性研究纳入22例因PITS进行气管切除和重建的患者。记录人口统计学,气管插管特征,狭窄部位,手术技术和材料,术后并发症以及患者的生存情况。结果平均插管时间为16.95天,中位数为15.00天。 19例(86.4%)进行了颈切。在两种情况下(9.1%)使用了正中胸骨切开切口;在剩下的情况下(4.5%),做了右胸切口。平均气管狭窄长度为2.14?cm(平均切除长度为2.5?cm)。在17例(77.3%)的情况下,前壁由vicryl(polyglactin)缝合线一一支撑。 12例(54.5%)未观察到术后并发症。在22位患者中的15位(68.2%)的长期随访中未发现复发。两名患者(9.1%)在术后早期死亡,而五名患者(22.7%)由于再狭窄而插入了支架。结论气管切除和端到端吻合术是在无医学禁忌症的情况下最有效的技术,尽管出现了支架或内窥镜手术。对于不能进行手术或复发的患者,可以建议使用内窥镜干预代替手术。

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