危重恶性气管狭窄的气管支架治疗  

Tracheal Stent for Treatment of Malignant Severe Airway Obstruction

作　　者：马卫军[1] 徐乃勋[1] 王扩建[1] 李月川[1] 赵惠[1] 孙婕[1] 

机构地区：[1]天津市胸科医院,300051

出　　处：《天津医药》2002年第7期402-403,I004,共3页Tianjin Medical Journal

摘　　要：目的:探讨气管支架抢救治疗危重恶性气管狭窄患者的方法和应用价值。方法:对8例恶性肿瘤所致重度气管狭窄的危重患者,置入气管支架治疗。使用Gianturco Z形支架5个,网状支架2个,Ultraflex支架1个。结果:全部患者均1次置入成功,呼吸困难立刻得到缓解。随访,1例患者术后3个月,现生存仍在观察中。7例死亡,生存时间52～213天,平均112天。结论:气管支架能快速、有效地开通气道,是抢救治疗恶性肿瘤所致危重气管狭窄的有效方法。熟练、合理地操作是支架置入成功的安全保障。Objective: To study the applied value of tracheal stent for treatment of malignant severe airway obstruction. Methods :Gianturco Z stents(n= 5), net stents (n = 2) and Ultraflex stent(n = 1) were used to treat 8 patients with severe tracheal stenosis caused by malignant tumor. Results: All of the patients were treated successfully by one time, and their respiratory distresses were relieved immediately after treatment. The survival time of these patient was 52~213(mean: 112) days. Conclusion: The tracheal stent can rapidly and effectively open a narrowed airway. It is an effective method to treat the severe tracheal stenosis caused by malignant tumor. A skilled and reasonable operative method is the safe guarantee for successful stent implantation.

关 键 词：危重恶性气管狭窄 气管支架治疗 介入性放射学 恶性肿瘤 

分 类 号：R562.12[医药卫生—呼吸系统] R730.55[医药卫生—内科学]