Karakoca Yalçin, Karaağaç Güler, Karakoca Sevinay, Yildiz Tülay, Yazanel Orhan, Sariman Nesrin, Yildiz M Erdem, Tekinsoy Bülent
Pulmonary Diseases, Faculty of Medicine, Maltepe University, Istanbul, Turkey.
Tuberk Toraks. 2004;52(4):363-8.
Benign airway obstruction is known as curable by therapeutic bronchoscopic methods. Compared by surgical therapies it is comfortable and has no risks for the patients. For five patients who applied our clinic after tracheostomy and endotracheal intubation stenosis we used therapeutic bronchoscopic methods; "laser-stenotic silicon stent". In two patients after vaporization of membranous stricture by Neodimum Yttrium Aliminum Pevroskite Laser (Nd-YAP laser) who were seen posttracheostomy and postentubation; stenotic stent was implanted mechanically and/or by means of baloon dilatation. Membranous stricture area was coagulated by Nd-YAP-laser in other three cases and anatomic airway diameter was achieved mechanically and by baloon dilatation. In the follow up period we applied stenotic silicon stent implantation after second laser resection in whom restenosis observed. In conclusion; patients who had stenotic silicon stent implantation and having no problems in the follow up this therapeutic method is found to be curative.
良性气道阻塞已知可通过治疗性支气管镜方法治愈。与手术治疗相比,它对患者来说较为舒适且无风险。对于5例在气管造口术和气管插管狭窄后到我们诊所就诊的患者,我们采用了治疗性支气管镜方法;“激光狭窄硅支架”。在2例气管造口术和插管术后经钕钇铝石榴石激光(Nd-YAP激光)汽化膜性狭窄的患者中,机械性地和/或通过球囊扩张植入狭窄支架。在其他3例中,用Nd-YAP激光凝固膜性狭窄区域,并通过机械方法和球囊扩张使气道直径恢复正常。在随访期间,对于观察到再狭窄的患者,在第二次激光切除后应用狭窄硅支架植入术。总之;接受狭窄硅支架植入术且在随访中无问题的患者,这种治疗方法被发现是可治愈的。