关键词:

先天性气管狭窄, 纤维支气管镜, Slide, 气管支架, 新生儿

Abstract:

ObjectiveTo analyze the clinical data of 11 cases of congenital tracheal stenosis(CTS).MethodsThe clinical data of 11 cases of neonatal tracheal stenosis were retrospectively analyzed, and the related diagnosis and treatment plans of CTS were reviewed based on literature.ResultsThere were 8 males and 3 females in 11 cases of CTS; 6 cases were diagnosed by fiberoptic bronchoscopy, and 5 cases were diagnosed by chest CT(including airway reconstruction). Ten cases of CTS had cyanosis and dyspnea of varying degrees.Ten cases had dysplasia in other parts, mainly laryngeal malacia and cardiac malformation. Chest CT showed diffuse inflammatory exudation in 3 cases, consolidation of lung in 2 cases, pleural effusion in 2 cases, and intracranial hemorrhage in 2 cases.ConclusionFiberoptic bronchoscopy and CT are helpful in the diagnosis of CTS. Most of the neonates with CTS are complicated with other developmental abnormalities and have severe pulmonary imaging manifestations. The mild cases of tracheal stenosis are mainly treated by conservative treatment in internal medicine,and surgical treatment is necessary for those with obvious symptoms. Slide operation is an ideal surgical mode at present, and tracheal stent has a broad prospect

Key words:

Congenital , tracheal stenosis, Fiberoptic bronchoscope, Slide, Tracheal stent, Neonate