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[钕-钇铝石榴石激光治疗气管支气管狭窄病变]

[Nd-YAG laser treatment of tracheo-bronchial stenotic lesions].

作者信息

Maeda T, Kubo Y, Nakajima S, Ikeda K, Omote Y, Hirata S, Yamazaki H, Tanaka K

机构信息

First Department of Surgery, Asahikawa Medical College.

出版信息

Kyobu Geka. 1992 Jan;45(1):19-22.

PMID:1735933
Abstract

Fourteen patients were treated with a Nd-YAG laser. Treatment to relieve airway stenosis was administered on fifteen occasions, and on one occasion to treat an obstruction. In each case the flexible fiberoptic bronchoscope was used. In 4 emergency cases, three involving tracheal lesions and one involving a bronchial lesion, the airway was widened and the patients' condition was improved after laser ablation. In the palliative treatment of 12 lesions, the stenoses were severed and treated at an interval of time varying between one and three weeks. Complications occurred in 3 cases. There were 2 instances of massive haemorrhage and one of pneumothorax which occurred while treating the 5 stenoses situated at broncho-plastic anastomoses.

摘要

14名患者接受了Nd-YAG激光治疗。为缓解气道狭窄进行了15次治疗,为治疗阻塞进行了1次治疗。每次均使用可弯曲纤维支气管镜。在4例急诊病例中,3例涉及气管病变,1例涉及支气管病变,激光消融后气道扩张,患者病情改善。在对12处病变的姑息治疗中,狭窄部位被切断,并在1至3周的不同时间间隔进行治疗。发生并发症3例。在治疗位于支气管成形吻合处的5处狭窄时,出现2例大出血和1例气胸。

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