经电子支气管镜氩气刀治疗气道狭窄的探讨  

Treatment of bronchostenosis by argon plasma coagulation with bronchoscopy

作　　者：吴雪梅[1] 柯明耀[1] 陈玲玲[1] 谢红旗[1] 姜燕[1] 

机构地区：[1]厦门市第二医院厦门市呼吸中心,361021

出　　处：《临床肺科杂志》2009年第6期713-714,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨经电子支气管镜氩等离子体凝固疗法(氩气刀)治疗气道狭窄的疗效及安全性。方法采用德国ER-BE公司生产的APC300型内镜专用氩气刀,经电子支气管镜对66例气道狭窄患者进行氩气刀治疗。其中恶性肿瘤41例(肺癌32例,甲状腺癌侵及气管1例,食道癌侵及气管6例,肺转移癌2例);支气管内膜结核9例;气道良性肿瘤2例(气管多形性腺瘤及气管平滑肌瘤各1例);炎性肉芽组织增生14例。以病变处狭窄获得再通、临床症状改善进行疗效评价。结果66例进行了182次氩气刀治疗(28例1次,30例2～4次,8例5次以上)。显效及部分有效51例(77.27%),轻度有效14例(21.21%),无效1例。结论氩气刀治疗气道狭窄疗效佳,并发症少,安全性好,有较高的临床推广价值。Objective To evaluate the curative effect and safety of argon plasma coagulation（APC） via bronchoscope in the treat- ment of tracheobronchial stenosis. Methods 66 patients with brenchostenosis were selected and treated with APC via bronchoscope, including 41 cases of malignant tumor（32 cases of lung cancer,l case of thyroid carcinoma which spread to trachea, 6 cases of esophageal carcinoma which spread to bronchus, 2 cases of metastatic carcinoma）, 9 cases of endobronchial tuberculosis ;2 cases of benign tumor and 14 cases of inflammatory g^nulation tissue hyperblastosis. To evaluate the efficacy by making tracheostenosis recanalization and improving clinical symptom. Results The number treated by APC in the 66 patients was 182 （ one of 28 cases, two-four of 30 cases, above five of 8 cases）, Full and partial effective was achieved in 51 cases （77%）, mild in 14 cases （21%）, none in 1 case. Conclusion APC via brenchoscope is an effective method to treat tracheobronchial stenosis with seldom complication.

关 键 词：氩等离子体凝固术 支气管镜检查术 气道狭窄 

分 类 号：R562[医药卫生—呼吸系统]