Đánh giá các phương pháp phẫu thuật tạo hình di chứng hẹp khí quản do đặt ống nội khí quản hoặc mở khí quản

Abstract

Objective: To evaluate tracheal reconstruction surgeries for tracheal stenosis after prolonged endotracheal intubation or tracheostomy and early results. Subject and method: A cross-sectional study in 72 patients with tracheal stenosis after prolonged endotracheal intubation, tracheostomy had indications for tracheal reconstruction performed at 108 Military Central Hospital and Cho Ray Hospital from January 2014 to December 2017. Result: 72 patients were operated with collar incision (93.1%), T-shaped cervical sternal incision (6.9%) and median sternotomy (4.2%). The main techniques were used tracheal end-to-end anastomosis 86.1%, cricoid cartilage-tracheal anastomosis 12.5%, suprahyoid release (Montgomery) 2.8%. The tracheal resected segment was mainly in the group of 1 - 2cm (40.3%), the average length of the resected segment was 25.4 ± 9.7 (mm). Immediate complications were 5 cases (7%), early complications in the postoperative period 11 (13.4%) cases. The surgical results, according to Grillo 4 groups classification: Good (73.6%), satisfactory 18.1%, failure 6.9%, mortality 1.4%. Conclusion: Tracheal reconstruction surgeries for tracheal stenosis after prolonged endotracheal intubation or tracheostomy have good early results and low complication rate.