Heitz M
FMH Innere Medizin und Pneumologie, Konsiliararzt interventionelle Bronchoskopie Universitätsspital Zürich und Stadtspital Triemli, Lungenpraxis Rietberg, Seestrasse 90, CH-8002 Zürich.
Ther Umsch. 2003 Apr;60(4):211-7. doi: 10.1024/0040-5930.60.4.211.
Interventional procedures in bronchoscopy such as tissue ablation by laser, bronchusdilatation, stenting, endobronchial radiotherapy have a firm established position as treatment modalities for severe tracheobronchial obstruction. They allow quick and effective treatment of sometimes life threatening tracheal and bronchial obstructions. This article focuses on stents in the airways. A brief description of historic development is given. Currently available and frequently used stents are shown. There advantages and disadvantages are discussed. Indications for Stent-insertion in particular and for interventional endoscopy are summarized and the different techniques for insertion outlined. Based on the published literature results and complication rates are discussed.
支气管镜介入手术,如激光组织消融、支气管扩张、支架置入、支气管内放疗,作为严重气管支气管阻塞的治疗方式已确立了稳固的地位。它们能对有时危及生命的气管和支气管阻塞进行快速有效的治疗。本文重点关注气道支架。文中给出了其历史发展的简要描述。展示了目前可用且常用的支架。讨论了它们的优缺点。总结了支架置入特别是介入性内镜检查的适应症,并概述了不同的置入技术。基于已发表的文献讨论了结果和并发症发生率。