Kawahara K, Itoyanagi N, Kobayashi M, Akamine S, Oka T, Tsuji H, Hara N, Tagawa Y, Ayabe K, Tomita M
First Department of Surgery, Nagasaki University School of Medicine.
Kyobu Geka. 1992 Jan;45(1):9-13.
The neodymium-yttrium-aluminium-garnet laser (Nd-YAG laser) has proved to be useful therapeutic tool for the management of endobronchial lesions. Between February 1983 and January 1991, 16 patients received endobronchial laser therapy at the Nagasaki University Hospital, 7 patients for tracheal stenosis, and 9 for endobronchial obstruction. In 4 patients with tracheal stenosis, the therapy was performed in an emergency. The type of lesions were lung cancer in 7 patients, thyroid cancer in 3, tracheal tumor (squamous cell carcinoma, and chondrosarcoma) in 2, esophageal cancer in 1, bronchial submucosal tumor in 1, and tracheobronchial tuberculosis in 2. Good symptomatic relief was obtained in 13 patients. One patient died from massive bleeding in the left main stem bronchus. Reobstruction had occurred in 2 patients with cicatricial lesion in right main stem bronchus. In patients with an unresectable malignant lesion, concurrent radiotherapy was needed to prevent the reobstruction.
钕钇铝石榴石激光（Nd-YAG激光）已被证明是治疗支气管内病变的一种有效治疗工具。1983年2月至1991年1月期间，长崎大学医院有16例患者接受了支气管内激光治疗，其中7例治疗气管狭窄，9例治疗支气管内阻塞。4例气管狭窄患者在紧急情况下接受了治疗。病变类型包括肺癌7例、甲状腺癌3例、气管肿瘤（鳞状细胞癌和软骨肉瘤）2例、食管癌1例、支气管黏膜下肿瘤1例、气管支气管结核2例。13例患者症状得到明显缓解。1例患者死于左主支气管大出血。2例右主支气管瘢痕性病变患者出现了再阻塞。对于无法切除的恶性病变患者，需要同时进行放疗以防止再阻塞。
