摘要
背景与目的采用电圈套器联合CO2冷冻等治疗气道内大的肿瘤或息肉,探讨其疗效和安全性。方法 77例大气道内肿瘤或息肉患者(恶性肿瘤70例,良性病变7例)在硬质镜引导下,结合电子支气管镜,利用电圈套器联合CO2冷冻等进行治疗。结果 77例患者进行电圈套器治疗85例次。病变位于右侧支气管42.9%,主气管38.3%和左侧支气管21.4%,少数位于亚段支气管开口。恶性肿瘤混合型占89.7%,单纯管内型仅占10.3%。圈套器治疗前气道内堵塞约4/5,术后约1/5;KPS评分和气促指数治疗后均有明显改善。未发生大出血、穿孔等并发症。结论电圈套器联合CO2冷冻等治疗气道内肿瘤或息肉,安全、有效、快速。
Background and objective To observe the clinical effects and safety of endobronchial electrocautery snare combined with CO 2 cryosurgery for the treatment of tracheobronchial obstructive lesions. Materials and methods Seventy-seven patients with airway tumor or granuloma were retrospectively reviewed, including 70 malignant airway obstruction and 7 benign airway lesions, for the treatment of endobronchial electrocautery snare plus CO 2 cryosurgery and argon plasma coagulation （APC）. Results Eighty-five endobronchial snares were performed in 77 cases. 42.9% of the obstructive lesions were located in right bronchial orifice, 38.3% in main trachea 21.4% in left bronchial orifice. 89.7% of the malignant tumor was mixed type of lesions （endobronchial plus bronchial or external bronchial）, only 10.3% was endobronchial. Obstructive stenosis was significant relieved after snare （80% before vs 20% after, P〈0.01） in all patients. Karnofsky Performance Status （KPS） and shortbreath score were obviously improved after snare. There was no severe complications related to the procedures. Conclusion Endobronchial electrocautery snare is an effective and safe approach for tracheobronchial obstructions with few complications.
出处
《中国肺癌杂志》
CAS
北大核心
2013年第6期294-298,共5页
Chinese Journal of Lung Cancer
关键词
气道内肿瘤
息肉
电圈套器
CO2冷冻
氩等离子体凝固
Airway neoplasms
Granulomas
Electrocautery snare
Cryosurgery
Argon plasma coagulation
