接受長期氣管造口術之兒童造口周圍氣管病變的擬議分類

// A proposed classification of peristomal tracheal pathology in children with long-term tracheostomies

提出五域分級以預測拔管（移除氣管造口）並比較造口周邊氣管病變治療｜6位小兒耳鼻喉科醫師評分38段剛性氣管鏡影像｜整體阻塞一致性極佳(Kendall’s W=0.847)，肉芽中等(0.575)，狹窄、氣管軟化與側壁一致性偏低｜系統對整體阻塞（及部分肉芽）具臨床評估價值，其他領域需精進並以前瞻性結果研究驗證其預測能力

// They propose a five-domain classification to predict decannulation and compare treatments for peristomal tracheal disease and tested its reliability. Six pediatric otolaryngologists scored 38 rigid tracheal endoscopy videos (28 cases + 10 repeats) across five domains: overall obstruction, granulation, tracheal stenosis, tracheomalacia, and lateral wall involvement. Interobserver agreement was very good for overall obstruction (Kendall’s W 0.847), moderate for granulation (0.575) and only fair for stenosis, tracheomalacia and lateral wall; intraobserver agreement was very good for obstruction, granulation and lateral wall, good for stenosis and moderate for tracheomalacia. The system is reliable for assessing overall obstruction and, to a lesser extent, granulation, but other domains need refinement and prospective outcome studies to assess predictive value.

Published 2026年9月10日