Venuta Federico, Rendina Erino A, De Giacomo Tiziano, Ciccone Anna Maria, Anile Marco, Moretti Marco, Coloni Giorgio Furio
Department of Thoracic Surgery, University of Rome La Sapienza, Policlinico Umberto I, Rome, Italy.
Ann Thorac Surg. 2005 Feb;79(2):718-9. doi: 10.1016/j.athoracsur.2003.11.027.
Bronchial dilation is usually required to treat a number of disorders; the most frequent are complications after airway surgery, including lung transplantation, stenosis after radiotherapy, and compression by an extraluminal mass. The procedure is performed by forcing the tip of a rigid bronchoscope through the stenosis using barrels of increasing size; however, when there is a clear discrepancy between the caliber of the rigid instrument and the stenosis, the first step may be difficult. In such cases, we have successfully employed two types of old-fashioned esophageal dilators rescued from the armamentarium of our endoscopy unit.
支气管扩张术通常用于治疗多种病症;最常见的是气道手术后的并发症,包括肺移植、放疗后狭窄以及管腔外肿物压迫。该操作是通过使用尺寸逐渐增大的套桶将硬支气管镜的尖端强行穿过狭窄部位来进行的;然而,当硬器械的口径与狭窄部位存在明显差异时,第一步操作可能会很困难。在这种情况下,我们成功地使用了从我们内镜科室的器械库中找到的两种老式食管扩张器。