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ID 106052
タイトル別表記
重症心身障害児に対する喉頭気管分離・気管食道吻合術と喉頭気管分離術の臨床的効果
著者
千田, いづみ 徳島大学大学院医科学教育部(医学専攻) KAKEN研究者をさがす
中川, 伸一 University of Tokushima|Kagawa Children’s Hospital
安藤, 正裕 University of Tokushima|Kagawa Children’s Hospital
Kuno, Emi Kagawa University
Hoshikawa, Hiroshi Kagawa University
Mori, Nozomu Kagawa University
キーワード
Tracheoesophageal diversion
Laryngotracheal separation
Trumpet-shaped tracheotomy
Intractable aspiration
Neurologically impaired children
資料タイプ
学位論文
抄録
Objective: Outcomes of tracheoesophageal diversion and laryngotracheal separation were evaluated in 15 neurologically impaired children treated for intractable aspiration.
Methods: A retrospective analysis of the hospital records was carried out in 15 consecutive pediatric patients who underwent either tracheoesophageal diversion or laryngotracheal separation with trumpet-shaped tracheotomy from 1999 to 2006 in Kagawa Children’s Hospital.
Results: The number of hospital admissions for aspiration pneumonia after surgery was significantly decreased in 6 patients who were cared for at home. The parent-reported number of secretion suctioning was decreased after surgery especially in patients with pre-operative tracheotomy or intubation. Four patients fed through naso-gastric tube progressed with oral diet post-operatively, whereas 3 patients who had pre-operative tracheotomy developed temporary post-operative tracheocutaneous fistula that was managed by local wound care.
Conclusion: It is suggested that tracheoesophageal diversion and laryngotracheal separation decrease the morbidity of pediatric patients and improve their quality of life and that of their parents. It is suggested that the risk of developing post-operative fistula is higher in pediatric patients with than without pre-operative tracheotomy.
掲載誌名
Auris Nasus Larynx
ISSN
03858146
cat書誌ID
AA00061157
AA11522116
出版者
Elsevier
45
4
開始ページ
728
終了ページ
731
発行日
2012-12-20
備考
内容要旨・審査要旨・論文本文の公開
内容要旨・審査要旨 : LID201403051002.pdf
論文本文 : k2657_fulltext.pdf
本論文は,著者Izumi Chidaの学位論文として提出され,学位審査・授与の対象となっている。
著者の申請により要約(2014-05-23公開)に替えて論文全文を公開(2019-12-17)
権利情報
© 2012 Elsevier Ireland Ltd. All rights reserved.
EDB ID
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
博士論文全文を含む
文科省報告番号
甲第2657号
学位記番号
甲医第1183号
学位授与年月日
2013-12-26
学位名
博士(医学)
学位授与機関
徳島大学
部局
医学系
病院