NGHIÊN CỨU TỔNG QUAN KẾT QUẢ ĐIỀU TRỊ SẸO HẸP KHÍ QUẢN Ở NGƯỜI LỚN

Abstract

Objectives: Overview of treatment results for adult tracheal stenosis. Methods: Scoping review. We searched the database on PubMed, Medline, and the electronic library of Hanoi Medical University to identify original articles related to surgery treatment results for adult tracheal stenosis (endoscopic surgery or tracheal resection with anastomosis surgery or tracheal reconstruction with expansion grafting or stent placement). Primary outcomes are the rate of additional surgery performed, the success of decannulation if previously tracheostomy, and the rate of complication. Results: 22 studies with 4 methods of surgical treatment for adult tracheal stenosis were included in this scoping review. Outcomes of treatment for adult tracheal stenosis by endoscopic surgery, tracheal resection with anastomosis surgery, tracheal reconstruction with expansion grafting, stent placement: successful decannulation rate: 43,9-100%, 60-100%, 60-100%, 84,62%, respectively. Rate of additional surgery performed: 3,57-50%, 18,75-98%, 19,67-80%, 25-100%, respectively. Rate of restenosis complication: 3,57- 38,89%, 18,75 – 97,62%, 0%, 10,26 – 45,24%, respectively. Rate of granulation tissue complication: 4,26 - 40%, 2,38%, 40 – 66,67%, 25,64 – 48,81%, respectively. Conclusion: There are 5 methods of surgical treatment for adult tracheal stenosis in this scoping review. Patients with adult tracheal stenosis who undergo tracheal resection with anastomosis receive less surgery compared to those who undergo endoscopic treatment or tracheal reconstruction with expansion grafting or stent placement. The most common complications were restenosis and granulation after treatment for adult tracheal stenosis.