RESUMO
The experience of treating 61 patients over the rumen of stenosis of the trachea was summarizes. To improve the results suggested inclusion complex diprospan treatment in combination with low intensity infrared laser radiation. The advantages of the proposed method of treatment of tracheal stenosis scarring are reduced severity of chronic inflammation, reducing the proliferation of granulation tissue.
Assuntos
Betametasona/análogos & derivados , Cicatriz/complicações , Glucocorticoides/uso terapêutico , Raios Infravermelhos/uso terapêutico , Estenose Traqueal/terapia , Betametasona/administração & dosagem , Betametasona/uso terapêutico , Terapia Combinada , Combinação de Medicamentos , Glucocorticoides/administração & dosagem , Humanos , Terapia com Luz de Baixa Intensidade , Estenose Traqueal/tratamento farmacológico , Estenose Traqueal/etiologia , Estenose Traqueal/radioterapiaRESUMO
There was analyzed the experience of diagnosis and surgical treatment of 61 patients, aged from 2 to 69 years old, including 43 (70.5%) men and 18 (29.5%) women, in whom after a tracheal intubation with durable pulmonary ventilation, performed for an acute respiratory insufficiency, a tracheal stenosis have had occurred. A tracheal stenosis was manifested by a stridorous kind of respiration, the diagnosis was confirmed by the endoscopic investigation and a computer tomography data. Conservative and endoscopic treatment was effective in 10 (16.4%) patients, operative intervention--circular resection with a primary tracheal anastomosis formation and a staged treatment with tracheostomy and a T-kind silicone tube insertion--was performed in 51 (83.6%) patients. Good and fair results were achieved in 70% of the patients.
