经支气管镜介入氩等离子凝固治疗支气管肺癌  

Bronchoscopic argon plasma coagulation therapy for bronchial carcinoma

作　　者：杨红忠[1] 杨华平[1] 周燕芝[1] 瞿素洁[1] 胡成平[1] 

机构地区：[1]中南大学湘雅医院呼吸内科,长沙410008

出　　处：《中南大学学报（医学版）》2009年第7期651-654,共4页Journal of Central South University ：Medical Science

摘　　要：目的:探讨支气管镜下氩等离子凝固治疗支气管肺癌的疗效。方法:31例经支气管镜检查并病理确诊的支气管肺癌患者,且胸片或胸部CT示有阻塞性肺炎或肺不张,在支气管镜下行氩等离子凝固治疗并追踪观察。以病变狭窄获得再通临床症状改善的疗效进行评价。结果:31例支气管肺癌经支气管镜下氩等离子凝固治疗1～4次后,临床评价完全有效15例(48.4%)、部分有效12例(38.7%)、轻度有效4例(12.9%),总有效率100%。结论:支气管镜下氩等离子凝固治疗能明显缩小肿瘤、通畅呼吸道,改善临床症状,消除肿瘤阻塞引起的肺炎、肺不张,是治疗支气管肺癌的有效而安全的手段。Objective To evaluate the effect of bronchoscopic argon plasma coagulation therapy on bronchial carcinoma. Methods Thirty-one bronchial carcinoma patients were diagnosed by bronchoseope and pathological tests, with or without atelectasis or obstructive pneumonia on chest X- ray or chest CT. Argon plasma coagulation therapy was performed through bronchoscope. The location of the airway lesions, the degree of obstruction, dyspnea index, and complications were evaluated. Results The patients with bronchial carcinoma were treated 1 -4 times by bronchoscopic argon plas- ma coagulation therapy. Full effectiveness was achieved in 15 patients （48. 4 % ） , partial in 12 （38.7 % ） , and mild in the other 4 （ 12.9 % ）. The overall effective rate was 100%. Conclusion Bronchoscopic argon plasma coagulation therapy for bronchial carcinoma can remarkably reduce the tumor size, relieve clinical symptoms, and alleviate the obstruction caused by bronchial neoplasm. Brouchoscopie argon plasma coagulation therapy is an effective and safe method for patients with bronchial carcinoma.

关 键 词：支气管镜 氩等离子凝固 支气管肿瘤 

分 类 号：R734.2[医药卫生—肿瘤]