使用 Montgomery T 硅酮支架治疗声门下良性气道狭窄的 32 例临床分析。

IF 2.1 4区 医学 Q3 RESPIRATORY SYSTEM Canadian respiratory journal Pub Date : 2024-10-16 eCollection Date: 2024-01-01 DOI:10.1155/2024/2145560
Zhenyu Yang, Xiaoli Zhou, Wenying Pan, Daxiong Zeng, Junhong Jiang
{"title":"使用 Montgomery T 硅酮支架治疗声门下良性气道狭窄的 32 例临床分析。","authors":"Zhenyu Yang, Xiaoli Zhou, Wenying Pan, Daxiong Zeng, Junhong Jiang","doi":"10.1155/2024/2145560","DOIUrl":null,"url":null,"abstract":"<p><p><b>Objective:</b> To explore the complications of long-term placement of Montgomery T silicone stent (T<i>-</i>tube) in the treatment of subglottic benign airway stenosis (SBAS) and the timing of successful T<i>-</i>tube removal. <b>Methods:</b> We retrospectively collected the clinical data of 32 patients with SBAS who underwent the treatment of T<i>-</i>tube and analyzed their placement and successful removal of the T<i>-</i>tube. <b>Results:</b> There were 22 males and 10 females, aged from 21 to 79 years (60.9 ± 13.7 years). The T<i>-</i>tubes were successfully placed in all 32 patients, and 6 patients (18.8%) with mild stenosis were placed by the intravenous conscious sedation. The longest follow-up period was 60.4 months, and 17 patients (53.1%) had the T<i>-</i>tubes for more than 12 months; 5 patients (15.6%) were changed to the tracheostomy cannula after unplanned removal of the T<i>-</i>tubes for various reasons; the T<i>-</i>tubes were successfully removed in 9 patients (28.1%), and the duration of T<i>-</i>tubes placement was 5.2-22.7 months (12.1 ± 6.3 months), among them anatomical stenosis in 9 patients (100%). Secretion retention was observed in 32 patients (100%), granulation tissue hyperplasia was observed in 9 patients (28.1%), and the normal ventilation was not affected in most patients by bronchoscopic treatment and follow-up; the T<i>-</i>tubes were removed in 3 patients due to severe complications. There was no significant difference in the incidences of secretion retention and granulation tissue hyperplasia between the time point at 1 week, 1 month, 3 months, and 12 months, <i>p</i> > 0.05. In patients with T<i>-</i>tube more than 12 months, the severity of secretion retention at 1 week, 1 month, 3 months, and 12 months was significantly different, <i>p</i> < 0.05, however, there was no significant difference in the severity of granulation tissue hyperplasia, <i>p</i> > 0.05. <b>Conclusions:</b> T<i>-</i>tube is safe and effective in the treatment of SBAS. The severity of secretion retention increased in patients with long-term placement of the T<i>-</i>tube. For patients with mild stenosis and anatomical stenosis, the T<i>-</i>tube removal can be attempted at about 1 year of follow-up.</p>","PeriodicalId":9416,"journal":{"name":"Canadian respiratory journal","volume":null,"pages":null},"PeriodicalIF":2.1000,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498979/pdf/","citationCount":"0","resultStr":"{\"title\":\"Clinical Analysis of 32 Cases of Subglottic Benign Airway Stenosis Treated With Montgomery T Silicone Stent.\",\"authors\":\"Zhenyu Yang, Xiaoli Zhou, Wenying Pan, Daxiong Zeng, Junhong Jiang\",\"doi\":\"10.1155/2024/2145560\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b>Objective:</b> To explore the complications of long-term placement of Montgomery T silicone stent (T<i>-</i>tube) in the treatment of subglottic benign airway stenosis (SBAS) and the timing of successful T<i>-</i>tube removal. <b>Methods:</b> We retrospectively collected the clinical data of 32 patients with SBAS who underwent the treatment of T<i>-</i>tube and analyzed their placement and successful removal of the T<i>-</i>tube. <b>Results:</b> There were 22 males and 10 females, aged from 21 to 79 years (60.9 ± 13.7 years). The T<i>-</i>tubes were successfully placed in all 32 patients, and 6 patients (18.8%) with mild stenosis were placed by the intravenous conscious sedation. The longest follow-up period was 60.4 months, and 17 patients (53.1%) had the T<i>-</i>tubes for more than 12 months; 5 patients (15.6%) were changed to the tracheostomy cannula after unplanned removal of the T<i>-</i>tubes for various reasons; the T<i>-</i>tubes were successfully removed in 9 patients (28.1%), and the duration of T<i>-</i>tubes placement was 5.2-22.7 months (12.1 ± 6.3 months), among them anatomical stenosis in 9 patients (100%). Secretion retention was observed in 32 patients (100%), granulation tissue hyperplasia was observed in 9 patients (28.1%), and the normal ventilation was not affected in most patients by bronchoscopic treatment and follow-up; the T<i>-</i>tubes were removed in 3 patients due to severe complications. There was no significant difference in the incidences of secretion retention and granulation tissue hyperplasia between the time point at 1 week, 1 month, 3 months, and 12 months, <i>p</i> > 0.05. In patients with T<i>-</i>tube more than 12 months, the severity of secretion retention at 1 week, 1 month, 3 months, and 12 months was significantly different, <i>p</i> < 0.05, however, there was no significant difference in the severity of granulation tissue hyperplasia, <i>p</i> > 0.05. <b>Conclusions:</b> T<i>-</i>tube is safe and effective in the treatment of SBAS. The severity of secretion retention increased in patients with long-term placement of the T<i>-</i>tube. For patients with mild stenosis and anatomical stenosis, the T<i>-</i>tube removal can be attempted at about 1 year of follow-up.</p>\",\"PeriodicalId\":9416,\"journal\":{\"name\":\"Canadian respiratory journal\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2024-10-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498979/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Canadian respiratory journal\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1155/2024/2145560\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"RESPIRATORY SYSTEM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Canadian respiratory journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1155/2024/2145560","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"RESPIRATORY SYSTEM","Score":null,"Total":0}
引用次数: 0

摘要

目的探讨长期放置蒙哥马利 T 型硅胶支架(T 型管)治疗声门下良性气道狭窄(SBAS)的并发症以及成功拔除 T 型管的时机。方法我们回顾性地收集了 32 例接受 T 型管治疗的 SBAS 患者的临床资料,并分析了他们放置和成功拔除 T 型管的情况。结果:男 22 例,女 10 例:其中男性 22 例,女性 10 例,年龄从 21 岁到 79 岁(60.9±13.7)岁。所有 32 名患者都成功置入了 T 型管,其中 6 名轻度狭窄患者(18.8%)在静脉清醒镇静的情况下置入了 T 型管。最长随访时间为 60.4 个月,17 名患者(53.1%)留置 T 型管超过 12 个月;5 名患者(15.6%)因各种原因意外拔除 T 型管后改用气管造口插管;9 名患者(28.1%)成功拔除 T 型管,留置 T 型管时间为 5.2-22.7 个月(12.1±6.3 个月),其中 9 名患者(100%)为解剖性狭窄。32 例患者(100%)出现分泌物潴留,9 例患者(28.1%)出现肉芽组织增生,通过支气管镜治疗和随访,大多数患者的正常通气未受影响;3 例患者因严重并发症而拔除 T 型管。1周、1个月、3个月和12个月时点的分泌物潴留和肉芽组织增生发生率无明显差异,P>0.05。在插管超过 12 个月的患者中,1 周、1 个月、3 个月和 12 个月时分泌物潴留的严重程度有显著差异(P < 0.05),但肉芽组织增生的严重程度无显著差异(P > 0.05)。结论T管治疗SBAS安全有效。长期放置 T 型管的患者分泌物潴留的严重程度增加。对于轻度狭窄和解剖性狭窄的患者,可在随访 1 年左右时尝试拔除 T 型管。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Clinical Analysis of 32 Cases of Subglottic Benign Airway Stenosis Treated With Montgomery T Silicone Stent.

Objective: To explore the complications of long-term placement of Montgomery T silicone stent (T-tube) in the treatment of subglottic benign airway stenosis (SBAS) and the timing of successful T-tube removal. Methods: We retrospectively collected the clinical data of 32 patients with SBAS who underwent the treatment of T-tube and analyzed their placement and successful removal of the T-tube. Results: There were 22 males and 10 females, aged from 21 to 79 years (60.9 ± 13.7 years). The T-tubes were successfully placed in all 32 patients, and 6 patients (18.8%) with mild stenosis were placed by the intravenous conscious sedation. The longest follow-up period was 60.4 months, and 17 patients (53.1%) had the T-tubes for more than 12 months; 5 patients (15.6%) were changed to the tracheostomy cannula after unplanned removal of the T-tubes for various reasons; the T-tubes were successfully removed in 9 patients (28.1%), and the duration of T-tubes placement was 5.2-22.7 months (12.1 ± 6.3 months), among them anatomical stenosis in 9 patients (100%). Secretion retention was observed in 32 patients (100%), granulation tissue hyperplasia was observed in 9 patients (28.1%), and the normal ventilation was not affected in most patients by bronchoscopic treatment and follow-up; the T-tubes were removed in 3 patients due to severe complications. There was no significant difference in the incidences of secretion retention and granulation tissue hyperplasia between the time point at 1 week, 1 month, 3 months, and 12 months, p > 0.05. In patients with T-tube more than 12 months, the severity of secretion retention at 1 week, 1 month, 3 months, and 12 months was significantly different, p < 0.05, however, there was no significant difference in the severity of granulation tissue hyperplasia, p > 0.05. Conclusions: T-tube is safe and effective in the treatment of SBAS. The severity of secretion retention increased in patients with long-term placement of the T-tube. For patients with mild stenosis and anatomical stenosis, the T-tube removal can be attempted at about 1 year of follow-up.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Canadian respiratory journal
Canadian respiratory journal 医学-呼吸系统
CiteScore
4.20
自引率
0.00%
发文量
61
审稿时长
6-12 weeks
期刊介绍: Canadian Respiratory Journal is a peer-reviewed, Open Access journal that aims to provide a multidisciplinary forum for research in all areas of respiratory medicine. The journal publishes original research articles, review articles, and clinical studies related to asthma, allergy, COPD, non-invasive ventilation, therapeutic intervention, lung cancer, airway and lung infections, as well as any other respiratory diseases.
期刊最新文献
Clinical Analysis of 32 Cases of Subglottic Benign Airway Stenosis Treated With Montgomery T Silicone Stent. Nomograms for Predicting High Hospitalization Costs and Prolonged Stay among Hospitalized Patients with pAECOPD. Gentiopicroside Ameliorates Sepsis-Induced Acute Lung Injury via Inhibiting Inflammatory Response. Development of Prone Position Ventilation Device and Study on the Application Effect of Combined Life Support Technology in Critically Ill Patients. IL-17 Mildly Rescued the Impaired Proliferation of Alveolar Epithelial Cells Induced by LCN2 Overexpression.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1