氩等离子体凝固治疗气道阻塞性病变的临床观察  

Argon plasma coagulation in the treatment of airway obstructive lesions

作　　者：马长秀[1] 陆友金[1] 赵卉[1] 赵磊[1] 赵大海[1] 姚梦醒[1] 

机构地区：[1]安徽医科大学第二附属医院呼吸内科,安徽合肥230601

出　　处：《临床肺科杂志》2011年第12期1879-1880,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的了解支气管镜下氩等离子凝固(APC)治疗气道阻塞性病变的有效性和安全性。方法在支气管镜下应用APC治疗气道阻塞性病变。结果 18例气道狭窄患者,接受APC治疗26次。恶性肿瘤有效率53.8%,良性病变100.0%,7例使用圈套器,有效率提高至85.7%。治疗效果与位置密切相关,气管有效率100.0%,中间段及主支气管77.8%,叶支气管42.9%。治疗中未发生严重并发症。结论支气管镜下行APC治疗可以有效、安全的切除部分气道(尤其是中心气道)阻塞性病变,良性病变优于恶性病变,局限病变可联合圈套器治疗。Objective To evaluate the effect and safety of argon plasma coagulation via bronchoscopy in the treatment of airway obstructive lesions.Methods Endobronchial therapy with APC was performed via bronchoscopy for patients with airway obstructive lesions.Results 18 patients received 26 APC procedures.Efficacy rates were 53.8% of cases with malignant tumor,100% of cases with benign tumor and lesions.7 patients received snare therapy.Efficacy rates increased to 85.7%.Efficacy rates were 100% of lesions in tracheal,77.8% of lesions in main stem bronchi and bronchus intermedius,42.9% of lesions in lobe bronchi.Serious side-effects were not found during APC procedures.Conclusion APC is an effective and safe method to resect part airway obstructive lesions via bronchoscopy,especially in central airway.Efficacy rates of benign lesions were better than malignant lesions.Limited lesions are considered with snare therapy.

关 键 词：氩等离子体凝固 支气管镜 气道阻塞 

分 类 号：R562[医药卫生—呼吸系统]