电子支气管镜介导下高频电刀治疗大气道肿瘤27例临床分析  

Investigation of electric bronchoscope treatment for benign and malign trachea tumor with high frequency knife

作　　者：甄永强[1] 滕琳[1] 吴立平[1] 刘婷[1] 庄宏洁[1] 孙开宇[1] 董亚伟[1] 

机构地区：[1]山东省潍坊市人民医院呼吸科,261041

出　　处：《中国医疗前沿》2009年第7期75-78,共4页China Healthcare Innovation

摘　　要：目的观察电子支气管镜下高频电刀治疗良恶性大气道肿瘤的临床疗效及其安全性。方法对27例良恶性大气道肿瘤所致的气道阻塞病人,通过电子支气管镜下进行高频电刀烧灼切割术,观察病人的耐受性和并发症的发生率。结果27例大气道狭窄病人共行43次高频电灼治疗,8例良性肿瘤(2例气管软骨瘤、2例结核肉芽肿、4例炎性肉芽肿)电灼后完全打通气道,彻底治愈。19例气管、支气管恶性肿瘤病人经电灼后将阻塞气道13例完全打通,5例部分打通,有效的缓解了临床症状,1例气管肿瘤病人经电灼后将阻塞气道打通1/2并成功安装气管支架。27例病人43次电灼有4例出现并发症(9.3%),均未出现大出血、呼吸道穿孔、纵隔气肿等严重并发症。结论支气管镜下高频电刀治疗良恶性气道肿瘤引起的气道阻塞疗效显著,对良性肿瘤避免了开胸手术,可达到临床根治;对恶性肿瘤疗效直接,可解除呼吸困难,具有放、化疗不可比拟的优点,并且可延缓生存时间。Objective to observe the clinical curative effect and security by electric bronchoscope treatment for benign and malign trachea tumor with high frequency knife, in order to offering credible effective method for clinic. Method 27 patients with bronchus benign and malign tumor had airway obstruction and were cauterized with high frequency knife cauterize incision through electric bronchoscope. We observed the therapeutic outcome and the incidence rate of complication. Results 27 patients were experienced 43 cauterize all together. 8 of them are benign airway tumors （2 endobronchial chondroma . 2 tubercule granuloma. 4 phlogistic granuloma ） were completely gotten through after cauterize and cured thorough. 19 patients with trachea, bronchus malign tumor patients, 13 of them ,the obstructive bronchus were completely gotten through after cauterize ,5 of them ,the obstructive bronchus were partly recanalized after cauterize. All of them were effectively remittence the clinical symptom. 1 patient with trachea tumour was gotten through 1/2 after cauterize and installed bracket successfully. All of the 27 patients had 4 light complications and the incidence rate was 9.3%. No serious complications happen such as vast Needing, airway perforation, interpleural space emphysema etc. Conclusion There has predominancely curative effect for airway obstruction which was caused by benign and malign trachea tumor with high frequency knife mediated through electric bronchoscope, the method can make airway repatency. for benign tumor, it avoid surgery and attain clinical radical cure： for malign tumor, it has directness curative effect ,reform dyspnea, and can prolong survival time.

关 键 词：电子支气管镜 高频电刀 良恶性气道肿瘤 气道阻塞 

分 类 号：R734[医药卫生—肿瘤]