13例气道内疾病的微波热疗临床疗效分析  

Clinical analysis on 13 cases of airway disease treated with microwave thermotherary

作　　者：郑任珊[1] 马镛[1] 韩斌德[1] 李瑶[1] 

机构地区：[1]江西省胸科医院胸外科,南昌330006

出　　处：《江西医药》2004年第2期79-81,共3页Jiangxi Medical Journal

摘　　要：目的　探讨经支气管镜介入微波热疗治疗气道内疾病的临床疗效。方法　 1 3例气道内疾病均经支气管镜介入进行微波热疗。凝固治疗功率为 45～ 60w ,每次持续时间为 8～ 1 5s,行多点治疗 ,3～ 5次为 1个疗程。结果　 8例肺癌 6例显效 (75 % ) ,2例有效 (2 5 % ) ;良性肿瘤 1例和气管支气管内膜结核 2例均显效 ;支气管肉芽肿 2例完全消失 ,有效率 1 0 0 %。结论　经支气管镜介入微波热疗治疗气道内疾病 ,疗效确切 ,管腔内肿物迅速缩小或消失 ,完全或部分缓解气道阻塞症状 ,提高患者生存质量 ,另外还具有操作简单、方便、安全、实用、痛苦轻、并发症少、价廉易接受等优点 ,值得推广应用。Objective To evaluate the clinical effects of microwave thermotherapy on airway disease under bronchofiberoscope. Methods The therapeutic procedure was performed on 13 cases of airway disease. The microwave tissue congulation power was 45～60watts, the lasting time was 8～15 seconds and several spots were trearted every times,a course include 3～5times. Results The complete respondes to the treatment was achieved in 6 cases of pulmonary cancer、1 case of benign airway tumor、2 cases of endobronchial tuberculosis and 2 cases of inflammatory bronchogranuloma.The partial responds was achieved in 2 cases of pulmonary cancer. The tolal therapeutic effective rate was 100%.Conclusion Microwave thermotherapy under bronchofiberoscope can quickly eliminate the endobronchial carcinoma、 remit the syndrome led by airway congestion、 improve the life quality of patients and it is regarded as a simple、convinence and safe therapy method with less pain and less complication compared with surgical operation,so it is worth spreading.

关 键 词：气道内疾病 微波热疗 支气管镜 介入治疗 

分 类 号：R56[医药卫生—呼吸系统] R454.1[医药卫生—内科学]