局麻下支架置入术治疗原发性气管肿瘤性梗阻五例  

Implantation of stent under local anesthesia for the treatment of tracheal obstruction due to primary tracheal neoplasm: report of five cases

作　　者：魏宁[1] 徐浩[1] 顾玉明[1] 祖茂衡[1] 

机构地区：[1]江苏省徐州医学院附属医院介入放射科,221006

出　　处：《介入放射学杂志》2013年第7期570-573,共4页Journal of Interventional Radiology

摘　　要：目的探讨局麻下气管支架置入术治疗原发性气管肿瘤合并气管梗阻的临床疗效。方法回顾性分析5例原发性气管肿瘤合并气管梗阻患者。在局麻和DSA透视下置入镍钛记忆合金支架。结果5例原发性气管肿瘤患者共置入支架5枚,技术均获成功。术后患者呼吸困难症状即刻缓解,置入前后气促评级、PaO2、PaCO2均有显著改善。结论应用局麻下气管支架置入术治疗原发性气管肿瘤引起的气管狭窄,是一种安全、简便的措施,近期疗效显著。Objective To investigate the clinical effect of tracheal stenting under local anesthesia for neoplastic tracheal obstruction. Methods Five patients with primary tracheal neoplasm complicated by tracheal obstruction were enrolled in this study. Under local anesthesia and DSA- monitoring, Ni- Ti memory alloy stent was place in the trachea. The clinical data were retrospectively analyzed. Results Five Ni- Ti memory alloy stents were used in five patients. Technical success was obtained in all patients. After the procedure the symptom of dyspnea was immediately relieved. The degree of short breath, PaO2 and PaCO2 were significantly improved after the treatment. Conclusion For the treatment of tracheal stenosis caused by primary tracheal neoplasm, the implantation of stent under local anesthesia is clinically safe and technically simple with satisfactory short-term effectiveness.

关 键 词：原发性气管肿瘤 支架 气管梗阻 介入 

分 类 号：R734.1[医药卫生—肿瘤]