经鼻置入气道支架治疗气管支气管狭窄  

Clinical application of implanting nitinol alloy endotracheal stent in the treatment of tracheobronchial stenosis

作　　者：王春亭[1] 高鲁芳[1] 李春卫[2] 姚秀云[1] 雷茂禄[1] 李怀臣[1] 邱秀玲[2] 

机构地区：[1]山东省立医院呼吸科,济南250021 [2]山东省医学影像学研究所

出　　处：《中国肺癌杂志》2000年第2期118-120,共3页Chinese Journal of Lung Cancer

摘　　要：目的　探讨记忆镍钛合金支架治疗气管支气管狭窄的疗效。方法　在X线监视下 ,经纤维支气管镜放置合金支架治疗气管支气管狭窄患者 42例 ,并观察放置合金支架前、后患者血氧饱和度的变化。结果　本组 42例患者经放置合金支架后 ,显效 3 2例 ,患者狭窄管腔直径显著增加 ,通气功能明显改善 ,血氧饱和度较术前显著提高 (P <0 .0 0 1) ,生活质量明显改善。结论　记忆镍钛合金支架是治疗气管支气管狭窄的一种有效、安全和可靠的方法。Objective To explore the clinical results of implanting expanding nitinol alloy stent in the treatment of tracheobronchial stenosis. Methods The nitinol alloy endotracheal stent was put into the site of stricture of trachea or bronchus in 42 patients through an optical fibrobronchoscopy under X ray examination. The oxygen saturation of blood (SaO 2) and pulse rate were detected before, during and after operation respectively. Results After implanting nitinol alloy stent, 32 patients got satisfactory response, and other 10 patients got partial response. In all patients, the diameters of the stenostic airway were increased significantly, and ventilation function improved remarkably. The postoperative SaO 2 was greatly higher than the preoperative one (P<0.001). The quality of life was also improved. Conclusion The nitinol alloy endotracheal stent was an effictive, safe and reliable method to release tracheobronchial stenosis.

关 键 词：记忆镍钛合金支架 纤维支气管镜 气管支气管狭窄 

分 类 号：R730.56[医药卫生—肿瘤]