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颈段气管、食管复合性瘢痕性狭窄的一次性扩张成形手术方法国内尚未见报道。本文结合采用双T形管扩张术治疗的2例复合性瘢痕狭窄予以介绍。本法的特点是:充分利用颈前正中切口,在直视下松解和处理两个腔道的狭窄区,然后放置两根合适的硅橡胶T形管,并用尼龙丝线固定。此法与分期手术方法相比较,具有操作方便、安全省时、术后即可由口进普通饮食等优点,初步观察疗效颇佳。
Tracheal and tracheal esophageal cicatricial stenosis of the one-time expansion of plastic surgery has not been reported in China. This article combines two T-tube dilation treatment of 2 cases of composite scar stenosis is introduced. This method is characterized by: making full use of the median anterior cervical incision, under direct vision to loosen and handle the narrow area of the two lanes, and then placed two suitable silicone rubber T-shaped tube, and nylon thread fixation. Compared with the staging method, this method has the advantages of convenient operation, safe and time-saving, and normal diet after oral administration. The preliminary observation is quite effective.