青少年气管插管后狭窄一期气管切除术的治疗结果及术后并发症与成人的比较

IF 0.7 Q4 OTORHINOLARYNGOLOGY Turkish Archives of Otorhinolaryngology Pub Date : 2022-03-01 DOI:10.4274/tao.2022.2022-2-8
Mustafa Aslıer, Muhammed Furkan Yıldırım, H. Coşkun
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引用次数: 0

摘要

目的:分析19岁以下气管插管后狭窄患者气管切除术的治疗效果和术后并发症,并与成人进行比较。方法:回顾性检索病历资料,包括患者的人口学特征、围手术期特征、术后并发症和随访情况。比较青少年组和成人组的治疗结果和术后并发症。结果:总体而言,青少年组和成人组的吻合口和非吻合口并发症发生率分别为40%、40%、10%和63%、44.4%、33.3%。在青少年和成人中,基于气管造口管和无气管支架状态的总体治疗成功率分别为90%和92.6%。结论:年龄在19岁以下的患者和接受单期气管切除和端对端吻合治疗插管后气管狭窄的成年患者的治疗成功率和吻合口并发症发生率相似。
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Treatment Results and Postoperative Complications of Single-Stage Tracheal Resection in Adolescent Patients with Post-Intubation Tracheal Stenosis, Compared to Adults
Objective: The purpose of this study was to analyze the treatment outcomes and postoperative complications of tracheal resection in patients under the age of 19 years with post-intubation tracheal stenosis, and to compare the results with those of adults. Methods: Data were retrospectively retrieved from the medical records, including demographic characteristics, perioperative features, any postoperative complications and follow-up statuses of the patients. Treatment results and postoperative complications were compared between adolescent and adult groups. Results: Overall, anastomotic and non-anastomotic complication rates in the adolescent group and the adult group were 40%, 40%, 10% and 63%, 44.4%, 33.3%, respectively. Overall treatment success rates based on tracheostomy tube and tracheal stent free status were 90% and 92.6% in adolescent and adults, respectively. Conclusion: Treatment success rates and incidence of anastomotic complications were found similar in patients under the age of 19 years and adult patients who underwent single-stage tracheal resection and end to end anastomosis for treatment of post-intubation tracheal stenosis.
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