THE TREATMENT OF THE NARROWIBG OF A TRACHEA OF INFLAMMATORY ORIGIN
CH .M. JAFAROV, S.B. ISRAFILOVA , U.CH. RUSTAMZADE, S.M. AZIZBEYOVA
Azerbaijan Medical University, Baku, AZERBAIJAN
We had 61 patients (43 male ,18 female) under our observation at the age of 0-69 with the narrowing of a trachea after the long-termed intubation.
The diagnosis of the narrowing of a trachea was confirmed by complex endoscopic and 3D computer reconstruction.
The length of the narrowing of the chap on the walls of a trachea were cleared 30-45 with 35 patients, 40-50 mm with 19 patients, 50-60mm with 7 patients.
During the tracheostome the narrowing of the chap was 8-10 mm with 12 patients, 5-7mm with 38 patients, 3-4mm with 10 patients, the narrowing of a trachea upperneck chest with 26 patients and over-bifurcation with 2 patients.
Conservative(7) , endoscopic (3), and surgical treatment (the resection of a trachea and initial anastomoze of a trachea with 25 patients, the improvement of the chap of a trachea by stage-by stage operations with 26 patients) was 2 executed with 51 patients on dependence of the period, dimensions, degrees of the vessels by inflammatorial origin of a trachea and the complication of the patientís state. It was fixed to resection with the grainy seeds of the chap of a trachea 3-4 mm with 14 patients, 5-6mm with 9 patients,7-8mm with 2 patients. The resection of a trachea connected with the length of the narrowing segment was executed 3-4 cartilaginous semicircle with 16 patients 5-6 semicircle with 5 patients, 7-8 semiricle with 4 patients. The stage by-stage-improvement operation of the narrowing of a trachea was executed by getting the T-form silicone tube into the trachea. During 2-3 years the chap of a trachea on the silicone tube was widened till 10mm and the oval window on the front wall was covered by the local skin seeds 80 % of the surgical treatment of the narrowing of a trachea gave good and satisfactory results.
Medical tactics of the vessels of a trachea by inflammatorial origin mainly must be chosen according to complex endoscopic and computer inspection. The resection of a trachea and stage-by-stage improvement operations get free the patients from the deficiency of breath and improve qualities of life.
Date: 2014-12-28; view: 485