支气管镜引导联合透视下气道支架置入术治疗恶性气道狭窄的临床分析  

Clinical analysis of airway stenting by bronchoscope under radiological perspective guidance in the treatment of patients with malignant airway stenosis

作　　者：王继鹏[1] 洪永青[1] 王立新[1] 

机构地区：[1]南京医科大学附属淮安第一医院呼吸内科,江苏淮安223300

出　　处：《临床肺科杂志》2015年第2期245-247,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的研究支气管镜引导联合透视下气道支架置入术治疗恶性气道狭窄的疗效。方法对2003年01月至2013年05月因恶性气道狭窄置入气道支架的患者随访12个月,评估疗效及并发症。结果80例恶性肿瘤导致的气道狭窄患者均能顺利置入气道支架,术中无患者死亡,置入后呼吸困难评级、FVC、FEV1、PEF及Pa O2等指标均明显改善(P<0.05),出现远期并发症的几率为11.25%。结论支气管镜引导联合透视下气道支架置入术对恶性气道狭窄能迅速的缓解呼吸困难症状,短期疗效显著,安全性好。Objective To evaluate the curative effect of airway stenting by bronchoscope under radiological perspective guidance in the treatment of patients with malignant airway stenosis.Methods From February 2003 to May 201 3,80 patients with malignant airway disease underwent airway stenting placement.All of the patients were followed up to 1 2 months.The therapeutic effect and complications were analyzed.Results All of the eighty patients were received airway stenting insertion successfully,without intraoperative mortality.After operation,the difficulty breathing score,records of FVC,FEV1 ,PEF and PaO2 were improved obviously （P〈0.05 ）.The incidence of com-plications in the near future was 11 .25%.Conclusion Airway stenting by bronchoscope under radiological perspec-tive guidance is safe and effective in the treatment of patients with malignant airway stenosis.

关 键 词：支气管镜 气道支架置入术 气道狭窄 

分 类 号：R730.5[医药卫生—肿瘤]