Volume 42 Issue 12
Dec.  2021
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Article Navigation >  Journal of Kunming Medical University  > 2021  >  42(12): 123-128
Jiang-pin XU, Jun MA, Nan XIE, Qian WU, Fan CAO, Rong-ji YAN, Hua WANG. Clinical Application Value of Ultrasound in the Diagnosis of Acute Appendicitis[J]. Journal of Kunming Medical University, 2020, 41(11): 78-82. doi: 10.12259/j.issn.2095-610X.S20201118
Citation: Song-tao BIN, Cheng-qing WU, Li TAN, Rui HAO, Ming LI, Xia ZHANG. Etiology，Diagnosis and Treatment of 84 Children with Central Airway Stenosis[J]. Journal of Kunming Medical University, 2021, 42(12): 123-128. doi: 10.12259/j.issn.2095-610X.S20211231
shu

Etiology，Diagnosis and Treatment of 84 Children with Central Airway Stenosis

doi: 10.12259/j.issn.2095-610X.S20211231

  • Dept. of Respiratory Medicine，Kunming Children’s Hospital/Children’s Hospital of Kunming Medical University，Kunming Yunnan 650011，China

  • Received Date: 2021-10-09
  • Publish Date: 2021-12-25
    Abstract
  •   Objective   To analyze the etiology and morphological classification of children with central airway stenosis, and to explore the diagnosis and treatment methods.   Methods   Clinical data of 84 children with central airway stenosis hospitalized from August 2017 to August 2020 were retrospectively collected, including 54 males and 30 females; aged 20d to 14 years, and there are 64 infants （76%, 64/84）. Through CT and electronic bronchoscopy, the etiology and morphological characteristics of the children's central airway stenosis were determined, and the treatment based on electronic bronchoscopy was developed.   Results   （1） Majority of them were structural stenosis （88.1%, 74/84）, and a few were dynamic stenosis （11.9%, 10/84）. （2） The most common stenosis was left and right main bronchial stenosis （54.8%, 46/84）, followed by subglottic stenosis （23.8%, 20/84）, and carina stenosis （2.4%, 2/84） （3） 76% to 90% stenosis of was the most common （54.8%, 46/84）. （4） Stenosis of 1-3cm was the most common （57.1%, 48/84）. 16 of the 84 cases received follow-up observation without intervention treatment, and their conditions were stable during follow-up observation. 50 patients received electronic bronchoscope intervention therapy, the treatment was effective.   Conclusion   Central airway stenosis can be reported in children of all ages, and its etiology and morphological classification can be basically determined by CT and electronic bronchoscopy examination. The central airway stenosis in children was mainly structural and benign. Interventional therapy via electronic bronchoscope is the main treatment for central airway stenosis in children.
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