摘要
目的探讨气道良性狭窄的病因及气管镜下介入治疗方法的选择。方法回顾性分析煤炭总医院呼吸科2006年1月至2012年1月系统进行气管镜下介入治疗的中央型气道良性狭窄患者共135例。对病例资料进行回顾性总结，分析病因构成、狭窄类型、治疗方法选择及疗效评价。结果135例患者中管内型29例（21．5％），管壁型91例（67．4％），管外型5例（3．7％），混合型10例（7．4％）。其中128例（94．8％）经气管镜下介入治疗治愈，3例死亡，2例放置T型管，2例手术治疗。管内型及管外型狭窄全部治愈，放置T型管者均为混合型。结论狭窄类型的确定对治疗方法的选择及判断预后有重要价值。
Objective To explore the etiology and to assess the various bronchoscopic interventional modalities for benign central airway stenosis. Methods A total of 135 patients with benign central airway stenosis in China Meitan general hospital from January 2006 to January 2012 were treated with bronchoscopic interventions. The data Were collected and retrospectively reviewed. The etiologies, types of stenosis, intervention means, and their efficacy were analysed. Results We identified four different types of stenosis, which included intra-luminal （29 cases, 21.5 % ）, tracheal wall type （91 cases, 67.4 % ）, extra-luminal （five cases, 3.7%）, and mixed stenosis （10 cases, 7.4%）. Among them, 128 cases （94.8 % ） achieved complete relief. Three cases had death, two patients underwent insertion of T tube, and two cases received surgery resection. The complete remission cases were either intra- or extra-luminal type while the two cases who underwent T-tube insertion were all mixed stenosis. Conclusions The morphological types of stenosis is important in selecting bronchoscopic treatment modalities, and might be an prognosis factor of the outcomes.
出处
《国际呼吸杂志》
2013年第22期1700-1703,共4页
International Journal of Respiration
关键词
中央型气道良性狭窄
气管镜介入治疗
气管狭窄分型
Benign central airway stenosis
Bronchoscopic intervention
Tracheal stenosis typing
