The Short Term and Intermediate Term Results of using a T-tube in Patients with Tracheal Stenosis / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 63-71, 2009.
Article
在 Ko
| WPRIM
| ID: wpr-85635
Responsible library:
WPRO
ABSTRACT
BACKGROUND: The treatment of tracheal stenosis includes less invasive bronchoscopic intervention and more invasive segmental resection & anastomosis. Depending on the patient's clinical features, sometimes all these methods are inappropriate. Silicone T-tube stenting has recently been used as an alternative, safe management of tracheal stenosis. We studied the short term and Intermediate term results of using T-tubes in patients with tracheal stenosis, and this tracheal stenosis was caused by various underlying diseases. MATERIAL AND METHOD: We retrospectively reviewed 57 patients with tracheal stenosis and who were treated with T-tubes between Jan 1997 and Apr 2007. Based on the patient's medical records and the imaging studies, we evaluated the clinical findings and status of T-tube removal. RESULT: There was no T-tube related morbidity or mortality in this series. On follow-up, one patient underwent sleeve resection and end-to-end anastomosis. The T-tube could be successfully removed from 13 patients (13/57, 22.8%) without additional interventions. For another four patients, a T-tube was again inserted after removal of the first T-tube due to tracheomalacia or recurrent stenosis. Four patients died of underlying disease and cancer. The patients' gender and previous tracheostomy significantly affected T-tube removal. By contrast, multiple logistic regression analysis identified gender as a predictor of successfully removing a T-tube. Gender (p=0.033) and previous tracheostomy (p=0.036) were the two factors for success or failure of T-tube removal. CONCLUSION: A T-tube provided reliable patency of a stenotic airway that was caused by any etiology. We have proven that using a T-tube is safe and effective therapy for patients with tracheal stenosis for the short term or the intermediate term.
Key words
全文:
1
索引:
WPRIM
主要主题:
Silicones
/
Tracheal Stenosis
/
Tracheostomy
/
Logistic Models
/
Stents
/
Medical Records
/
Retrospective Studies
/
Follow-Up Studies
/
Constriction, Pathologic
/
Tracheomalacia
研究类型:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
限制:
Humans
语言:
Ko
期刊:
The Korean Journal of Thoracic and Cardiovascular Surgery
年:
2009
类型:
Article