摘要
目的观察和分析经支气管镜下二氧化碳冷冻治疗对气管插管后早期肉芽增生所致的良性气道狭窄的疗效。方法对我院2012年1月-2015年12月诊治的64例因气管插管后早期肉芽增生所导致的良性气管狭窄患者给予二氧化碳冷冻治疗,术后行相关检查,并随访3个月,观察治疗前后患者气促评分、狭窄段管腔直径、血气分析等指标的变化。结果治疗后,64例患者狭窄段管腔直径显著升高,血气分析指标较前明显好转、气促指数均较治疗前降低,差异有统计学意义。结论经支气管镜二氧化碳冷冻法介入治疗对气管插管后早期肉芽增生所致气管良性狭窄有较好的效果,并可避免瘢痕狭窄的发生。
Objective To observe and analyze the effect of bronchial CO2 endoscopic cryotherapy after intu- bation for benign tracheal stenosis caused by early granulation hyperplasia. Methods 64 patients with benign trache- al stenosis after intubation caused by early granulation from January 2012 to December 2015 were given carbon dioxide cryotherapy, postoperative relevant examination, and followed-up for 3 months to observe the changes of shortness of breath, stricture lumen diameter, blood gas analysis and other indicators. Results After treatment, their lumen di- ameter was significantly higher, blood gas analysis became better, and dyspnea indexes decreased. Conclusion Bronchoscopy CO2 cryotherapy has good curative effect for benign tracheal stenosis caused by early granulation hyper- plasia.
出处
《临床肺科杂志》
2017年第4期641-644,共4页
Journal of Clinical Pulmonary Medicine
关键词
二氧化碳冷冻介入治疗
气管插管后
气道狭窄
肉芽增生
CO2 cryotherapy interventional treatment
endotracheal intubation
airway stenosis
granulation
