Perfection of diagnostic and tactic of stage-by-stage endosurgical treatment of cicatricial stenoses of a trachea

Background: Research devoted to studying of complex treatment of cicatricial stenoses of trachea (CST) with use of various methods of stage-by-stade surgery including endoscopic laser photodestruction, bugging, stent insertion and tracheal resection are presented. Methods: The analysis of results of diagnostics and endoscopic and surgical treatment of 101 patients with CST was made. 1 group have made of 44 (43,6%) patients at whom extent of a stenosis has made to 2 sm and 2 group have made of 57 (56,4%) patients with a long of cicatricial zone of a trachea more than 2 sm. Results: After endoscopy in a case of restenosis were carried out by a following stage a circular resection at 36 patients. At 51 (50,5%) the patient endosurgical methods were independent and an effective treatment and have allowed them to avoid reconstructive surgery. At 29 (28,7%) patients endoscopic methods have served as a preparatory stage to a circular resection of a trachea. So in 1 group endoscopic method of treatment as stages of surgical corrections of CST was independent and effective at 28 (71,8%) from 39 patients, while in 2 group at 18 (36,0%) patients that is authentic twice less than in 1 group. ![Figure][1] Conclusion: The diagnostic-and-treatment algorithm and tactics of combined stage-by-stage treatments with application of hi-tech methods of diagnostics and treatment depending on extent of CST is developed. [1]: pending:yes

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