经支气管镜介入技术在气管腺样囊性癌治疗中的临床价值  

The Clinical Value of Interventional Technique of Bronchoscopy in the Treatment of Tracheal Adenoid Cystic Carcinoma

作　　者：马升军[1] 黄海东[2] 王琴[2] 李强[2] 

机构地区：[1]自贡市第四人民医院呼吸内科,四川自贡643000 [2]第二军医大学附属长海医院呼吸内科,上海200433

出　　处：《四川医学》2016年第2期196-198,共3页Sichuan Medical Journal

摘　　要：目的探讨经支气管镜介入技术在气管腺样囊性癌治疗中的临床价值和并发症。方法回顾性分析32例原发性气管腺样囊性癌患者的支气管镜检查、支气管镜下介入治疗资料及随访,比较介入治疗前后患者气道直径、气道狭窄率、气促指数,观察治疗后的并发症。结果所有患者经介入治疗后症状改善明显,气道直径较治疗前明显增加,差异有统计学意义(P<0.01);狭窄率明显下降,差异有统计学意义(P<0.01);气促指数明显降低,差异有统计学意义(P<0.05)。术中主要并发症是出血,术后患者均有咳嗽、咯血、胸痛,远期并发症主要是肿瘤复发或肉芽组织致气道再狭窄。结论对不能手术治疗的腺样囊性癌,经电子支气管镜介入治疗技术是迅速改善气道狭窄、维持气道通畅的有效方法。Objective To discuss the clinical value and complication of interventional technique of bronchoscopy in the treatment of tracheal adenoid cystic carcinoma. Methods A retrospective analysis of 32 cases of primary tracheal adenoid cystic carcinoma of the patients with bronchoscopy,interventional therapy under bronchoscopy and follow-up data,compared air the the airway diameter,airway stenosis rate and dyspnea index before and after the interventional therapy and observed the complications after the therapy. Results All patients improved significantly after intervention treatment,and airway diameter was significantly increased compared with that before treatment,respectively（ P〈0. 01）; and airway stenosis rate was significantly decreased compared with that before treatment,respectively（ P〈0. 05）; and dyspnea index was significantly decreased,respectively（ P〈0. 05） .The main complication was bleeding,and postoperative patients had cough,hemoptysis and chest pain,and the long-term complication was tumor recurrence or granulation tissue causing airway restenosis. Conclusion For the adenoid cystic carcinoma with no surgical treatment,interventional technique of bronchoscopy is effective method to improve airway stenosis and maintain airway patency.

关 键 词：气管腺样囊性癌 支气管镜 介入治疗 并发症 

分 类 号：R734.1[医药卫生—肿瘤]