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[自膨式金属假体(支架)在中央型肿瘤支气管系统中的植入]

[The implantation of self-expanding metal prostheses (stents) into the bronchial system in central neoplasms].

作者信息

Bohndorf K, Günther R W, Hürter T, Schmitz E, Korff M, Vorwerk D, Hanrath P

机构信息

Klinik für Radiologische Diagnostik, Institut für Pathologie, RWTH Aachen.

出版信息

Rofo. 1991 Sep;155(3):223-7. doi: 10.1055/s-2008-1033251.

Abstract

This paper reports the use of an endobronchial metallic prosthesis (wall stent) for palliative management of 6 patients with central neoplasms and life-threatening airway obstruction. In five of six patients implantation of the stent resulted in improvement of their dyspnoea. However, functional data showed only a slight amelioration. In case of endobronchial growth, tumour may protrude easily through the meshwork of the stent. Therefore, use of the stent in these patients only seems appropriate if combination with other forms of therapy (radiation, laser) is possible. The easy feasibility of stent implantation and the lack of severe side effects and migration indicate that the stent may be an effective means in patients suffering from peribronchial tumour compression.

摘要

本文报道了使用支气管内金属支架(壁式支架)对6例患有中央型肿瘤且伴有危及生命的气道阻塞的患者进行姑息治疗的情况。6例患者中有5例植入支架后呼吸困难得到改善。然而,功能数据显示仅略有改善。在支气管内生长的情况下,肿瘤可能很容易穿过支架的网孔突出。因此,只有在可能与其他治疗形式(放疗、激光)联合使用时,在这些患者中使用支架才似乎是合适的。支架植入操作简便,且无严重副作用和移位现象,这表明支架可能是治疗支气管周围肿瘤压迫患者的一种有效手段。

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