原發性小兒氣管軟化症的介入治療：治療現況與證據品質之系統性回顧

// Interventions for primary pediatric tracheomalacia: A systematic review of the therapeutic landscape and evidence quality

系統性回顧納入22項研究、764名兒童，評估原發性兒童氣管軟化症治療｜手術縫合pexy（固定氣管）報告症狀消失73–100%，隨訪多見改善；支架即時通氣但長期耐久差｜證據為無對照觀察性研究，需前瞻登錄、對照研究與病人自評以強化指引

// This systematic review (MEDLINE, Embase, Scopus to June 2025, PRISMA) sought and appraised studies of interventions for primary pediatric tracheomalacia. Twenty-two mostly retrospective studies (764 children) were included across surgical pexy, airway stenting, external stabilization, and medical management. Surgical pexy was the most studied and showed clinician-reported resolution in 73–100% with sustained benefit on available follow-up, whereas stents provided immediate patency but poor long-term durability. All evidence comes from uncontrolled observational studies, so prospective registries, comparative studies with non-surgical controls, and routine patient-reported outcomes are needed.

Published 2026年9月1日