Supraglottoplasty with low temperature plasma radiofrequency ablation for severe laryngomalacia
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关键词:
- 喉软骨软化症 /
- 声门上成形术 /
- 低温等离子射频消融术
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表 1 29例患儿术前临床资料
x±s 项目 不吸氧 吸氧 无创呼吸机 气管插管 合计 例数 6 8 10 5 29 平均年龄/周 24.90±37.44 7.38±5.15 8.92±3.45 8.50±4.14 11.75±17.62 男/女 5/1 3/5 5/5 4/1 17/12 孕龄 足月 5 6 5 2 18 32~37周 1 1 4 2 8 28~32周 0 1 1 1 3 出生体重/kg 3.65±0.33 2.65±0.94 2.74±0.72 2.53±0.35 2.87±0.77 术前体重/kg 6.00±3.49 3.21±0.76 3.27±0.82 3.36±0.83 3.84±1.98 术前营养发育等级 中等 3 0 1 0 4 中下等 1 5 3 1 10 下等 2 3 6 4 15 合并症 神经系统 0 2 3 2 7 心脏 1 4 3 1 9 肺 5 8 10 5 28 综合征 0 0 1 2 3 漏斗胸 6 6 5 2 19 合并气道病变 声门下狭窄 0 1 1 1 3 气管、支气管狭窄 2 0 2 1 5 气管、支气管软化 0 0 1 1 2 合并喂养困难 呛奶 3 5 4 3 15 胃食管反流 0 2 3 2 7 吞咽困难 0 2 4 2 7 术前喉镜表现 Ⅰ型 1 1 3 0 5 Ⅱ型 1 2 2 0 4 Ⅲ型 4 1 1 0 6 Ⅳ型 0 5 4 5 14 
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表 2 患儿术中及术后临床特点
x±s 指标 术前不吸氧 术前吸氧 术前无创呼吸机 术前气管插管 平均值 平均手术时间/min 19.0±3.75 21.0±2.59 22.0±6.33 28.0±5.70 23.0±5.45 术后ICU气管插管时间/d 3.7±1.51 3.5±0.76 4.4±0.84 5.4±1.95 4.2±1.34 术后总住院天数/d 6.7±1.51 6.5±0.76 7.5±0.85 8.6±1.81 7.2±1.35
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表 3 患儿出院及出院后1、3、6个月一般情况
例 项目 出院 1个月 3个月 6个月 喘鸣 消失 19 25 27 27 减轻 9 3 0 1 无变化 1 1 2 1 喂养 鼻饲 4 2 2 2 呛奶或吐奶 10 5 1 1 经口无症状 15 22 25 26 营养等级 中上等 0 0 3 5 中等 4 8 15 21 中下等 10 13 8 1 下等 15 8 3 2
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[13] Miller C, Parikh SR. Does supraglottoplasty improve outcomes in children with laryngomalacia?[J]. Laryngoscope, 2019, 129(2): 285-287. doi: 10.1002/lary.27127
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