Sen M K, Suri J C
Department of Pulmonary, Critical Care and Sleep Medicine, Safdarjung Hospital, New Delhi.
Indian J Chest Dis Allied Sci. 2000 Jul-Sep;42(3):167-79.
Endoscopic therapy has been used extensively in every field of medicine. The bronchial tree is no exception. The rigid bronchoscope was mainly used for foreign body extraction and hemostasis from and in the bronchial tree. With the evolution of flexible fiberoptic bronchoscope, the scope of therapeutic bronchoscopy has widened. The principles of therapeutic bronchoscopy, the various indications and brief description of such procedures like laser-bronchoscopy, endo-bronchial brachytherapy, management of airway strictures, its role in management of hemoptysis and foreign body removal have been reviewed.
内镜治疗已在医学的各个领域广泛应用。支气管树也不例外。硬质支气管镜主要用于支气管树内异物取出和止血。随着可弯曲纤维支气管镜的发展,治疗性支气管镜检查的范围得到了拓宽。本文回顾了治疗性支气管镜检查的原则、各种适应证,以及激光支气管镜检查、支气管内近距离治疗、气道狭窄处理、其在咯血治疗和异物取出中的作用等此类操作的简要描述。