纤维支气管镜介导的高频电刀治疗大气道内恶性肿瘤  

Treatment of Big Airway Malignunt Tumours with High-frequency Electrocautery Via Fiberoptic Bronchoscope

作　　者：饶怀庐[1] 张儒莲[1] 童旭芳[1] 李云华[1] 邓清水[1] 刘小敏[1] 尚红卫[1] 

机构地区：[1]南昌市第一医院呼吸内科,南昌330008

出　　处：《实用临床医学（江西）》2006年第11期18-19,共2页Practical Clinical Medicine

基　　金：江西省卫生厅课题(20042020)

摘　　要：目的:观察纤维支气管镜介导的高频电刀治疗大气道内恶性肿瘤的临床疗效及安全性。方法:对9例大气道内恶性肿瘤患者经纤维支气管镜高频电刀切除,电灼扩大管腔治疗,术后所有患者均加用局部放射、全身药物化学治疗。结果:9例患者治疗后气促指数、Kamofsky评分、FEV1及FVC与治疗前比较,差异均有统计学意义(P均<0.05);1例患者出现大出血。结论:纤维支气管镜介导的高频电切治疗大气道内恶性肿瘤,能迅速缓解患者呼吸困难症状,改善生活质量,操作简便易行,值得临床应用。Objective： To observe the clinical curative ettect and safety of high-frequency electrocautery via fiberoptic bronchoscope in treatment of big airway malignant tumours. Methods：Nine big airway malignant tumors were removed by high frequency electrocautery via fiberoptic bronchoscope and the airways were dilated by electrocautery. After these operations, all sufferers were also used radiotherapy partly and medicine chemistry curse all over the body. Resuhs：Afeer these treatments airway malignant tumour,Kamofsky.FEV1.FVC of the nine sufferers showed statistics differrnces compared with the situation before treatments（P〈0. 05） ,Only one of them had a markdly bleeding. Conclusion： It is worth of appling in the clinical. It can alleviate dyspnea for sufferers quickly improve life qulity and

关 键 词：高频电刀术 纤维支气管镜术 恶性肿瘤 气道阻塞 

分 类 号：R734[医药卫生—肿瘤]