摘要
目的:总结回顾纤支镜在气管、主支气管狭窄治疗中的应用。方法:对1990 年来,我科先后采用的纤支镜导向加长硅胶导管气管插管术(8 例)、纤支镜下微波热凝治疗(180 例)、经纤支镜放置镍钛记忆合金支架(53例)并配以经纤支镜气囊扩张术、活检钳钳夹术及经纤支镜置管后装气道内放疗等抢救、治疗各种原因引起的气管或主支气管重度狭窄241 例,进行总结。结果:治疗各种原因引起的气管或主支气管重度狭窄共241 例,其中恶性肿瘤182 例,良性肿瘤16 例,支气管内膜结核18 例,外伤、手术及气管切开外套管致疤痕狭窄12例,其它病因者13 例,疗效满意。结论:充分利用纤支镜采用正确及时的治疗方法有助于气管或主支气管重度狭窄的缓解。
Objective: To review the effect of applying bronchoscope in the treatment of tracheobronchial stenosis. Methods: 241 cases of severe tracheal or main bronchial stenosis caused by different causative agents had been rescued and treated in our department from 1990, including 8 cases treated by bronchoscope guided endotracheal intubation with lengthened silica catheter, 180 cases treated by microwave coagulation under bronchoscope, 53 cases treated by inserting the steadier of Ni-Ti memory alloy under bronchoscope. Some of these cases were also performed balloon dilatation、clipping with biopsy forceps or intratracheal radiotherapy under bronchoscope. The curative effect was gathered up and analyzed. Results: We got satisfied curative effect for 241 case of severe tracheal or main bronchial stenosis, including 182 cases of malignancy, 16 cases of benign tumors, 18 cases of tuberculosis in bronchial endomembrane, 12 cases of cicatricial stenosis caused by trauma、operation or external sleeving of tracheotomy and other different 13 cases. Conclusions: Appropriate treatment with bronchoscope in time is valuable for releasing severe tracheal and main bronchial stenosis, and making a favorable condition for further therapy.
出处
《中国内镜杂志》
CSCD
1999年第6期9-10,共2页
China Journal of Endoscopy
