摘要
目的观察电子支气管镜直视下置入镍钛记忆合金支架对气管、支气管狭窄等的治疗效果。方法武汉市中心医院呼吸内科近7年来31例肿瘤所致气道狭窄患者,在电子支气管镜直视下进行气管(或支气管)支架置入,其中被膜支架34个,裸体支架7个。观察支架置入前后患者症状、血气分析变化及相关并发症。结果所有患者术后喘息等不适症状明显缓解,动脉血氧分压提高;食管-气管瘘患者呛咳减轻,可以进食;未出现严重并发症。结论电子支气管镜下气道支架置入治疗肿瘤所致气道狭窄,可以明显改善症状,提高患者生活质量。
Objective To observe the effectiveness in treating the stenosis of trachea or bronchus by nickel-titanium memory alloys stent which was implanted under a bronchovideoscope.Methods In our department,31 cases of tumor-induced airway stenosis were treated by 41 stents of trachea or bronchus implanted under a bronchovideoscope during the seven years.Among the 41 stents,there were 34 velamen stents and 7 naked stents.The symptoms of the patients,the changes in the blood gas analysis and the complications before and after the tracheal stent implantation were observed.Results After the tracheal stent implantation,the symptom of panting was eased obviously,arterial partial pressure of oxygen was increased in all 31 patients;bucking was eased in the patients with esophagotracheal fistula,and they began to take food;and no serious complication occurred.Conclusion Treating the tumor-induced airway stenosis by the tracheal stent which was implanted under a bronchovideoscope can ease the symptoms and improve the quality of life obviously.
出处
《华中科技大学学报（医学版）》
CAS
CSCD
北大核心
2010年第2期275-276,共2页
Acta Medicinae Universitatis Scientiae et Technologiae Huazhong
关键词
支气管镜
支架
气道狭窄
肿瘤
bronchoscope
stent
airway stenosis
tumor
