全麻下自膨式金属支架治疗恶性气管狭窄的临床应用  

Clinical application of self-expandable metallic stents in the treatment of malignant tracheal stenosis under general anesthesia

作　　者：王维涛[1] 施海彬[1] 杨正强[1] 刘圣[1] 周春高[1] 赵林波[1] 夏金国[1] 李麟荪[1] 

机构地区：[1]南京医科大学第一附属医院放射科,210029

出　　处：《介入放射学杂志》2009年第6期457-460,共4页Journal of Interventional Radiology

摘　　要：目的评价全麻及透视下气管内自膨式镍钛合金支架治疗恶性气管狭窄的安全性和疗效。方法全麻下金属支架治疗气管恶性狭窄患者10例,均在透视定位下释放气管金属支架。结果10例患者气管支架释放均获成功,其中1例病变累及气管隆突,置入Y型气管支架。气管支架置入后,10例患者术前呼吸困难、气喘等症状均明显改善。结论全麻及透视下置入气管支架是一种安全、有效的治疗方法,能迅速缓解恶性气管狭窄的一系列症状,明显改善患者的生活质量,具有较高的临床应用价值。Objective To evaluate the safety and efficacy of self-expandable metallic stem placement for the treatment of malignant tracheal stenosis under general anesthesia and fluoroscopic guidance. Methods Under general anesthesia the placement of self-expandable metallic stent was performed in 10 patients with malignant tracheal stenosis, the procedure was completed under fluoroscopic guidance in all patients. Results Successful tracheal stenting was achieved in all 10 patients. In one patient, a Y-shaped stent was used as the tracheal carina was involved in the airway stenosis. The symptoms of dyspnea and asthma were markedly improved immediately after the implantation of stent in all patients. Conclusion Tracheal implantation of self-expandable metallic stent under general anesthesia and fluoroscopic guidance is a safe and effective treatment for malignant tracheal stenosis, it can promptly relieve various symptoms caused by malignant tracheal stenosis and obviously improve patient＇s living quality, therefore, this technique is of great value in clinical practice.

关 键 词：恶性气管狭窄 支架 全麻 

分 类 号：R730.5[医药卫生—肿瘤]