Y型Dumon气管支架治疗复杂性气道病变的临床应用  

Clinical application of Dumon Y-shaped airway stent for complex airway diseases

作　　者：沈世茉[1] 周莹艳[1] 吴宏成[1] 

机构地区：[1]浙江省宁波市医疗中心李惠利医院呼吸内科,宁波浙江315040

出　　处：《中国内镜杂志》2016年第9期61-65,共5页China Journal of Endoscopy

摘　　要：目的 探讨Y型Dumon气管支架在复杂性气道病变治疗中的安全性和疗效。方法 回顾性分析7例Y型Dumon气管支架患者的临床及影像学资料,根据气管病变的位置、大小及相关气管直径,个体化设计Y型Dumon气管支架,在硬质气管镜下行病变处7例支架植入。结果 所有Y型Dumon支架均一次性置入成功,7例患者隆突上端最狭窄处在置入支架前内径为（8.03±5.45）mm,置入支架后同一位置内径为（13.08±3.41）mm,明显增大（P〈0.05）。术前呼吸困难分级、氧饱和度分别为Ⅲ~Ⅳ级、（93.86±1.07）%,术后分别为Ⅰ~Ⅱ级、（98.14±1.07）%,均显著改善（P〈0.05）。7例患者均无手术相关性死亡及并发症。结论 Y型Dumon支架治疗复杂性气道病变,手术安全性高,术后疗效好,患者耐受情况好,可作为复杂性气道治疗的新选择,值得进一步推广应用。Objective To investigate the feasibility and primary therapeutic effect of Dumon Y-shaped airway stent for complex airway disease （stenosis or fistula）. Methods Seven patients with complex airway disease underwent placement of Dumon Y-shaped airway stent via rigid bronchoscope, and selected stent depend on carefully measuring the diameter and length of the stenosis or fistula. We retrospectively analyzed the therapeutic efficacy of the patients placed Dumon Y-shaped airway stentt. Results All the Dumon Y-shaped airway stetu placed successfully. The diameter of the narrowest tracheal stenosis under the carina was improved significantly from （8.03 ± 5.45） mm to （13.08 ±3.41） mm after the operation. Medical Research Council dyspnea grade improved significantly from Ⅲ - Ⅳ to Ⅰ - Ⅱ and the oxygen saturation improved significantly from （93.86 ± 1.07） % to （98.14 ± 1.07） %. There is no treatment-related complication and death in the seven patients. Conclusion As a new choice, the technique of Dumon Y-shaped airway stent is feasible and safety for the complex airway disease （stenosis or fistula）, and worthy of widely promoting

关 键 词：Y型气管支架 硅酮支架 狭窄 瘘 

分 类 号：R562.12[医药卫生—呼吸系统]