Filippov V P, Lebedev K M, Vasil'ev V Iu, Bolotov P A
Probl Tuberk. 1991(11):48-50.
Bronchoscopy by laser radiation was performed in 141 patients. CO2 laser was used in 89 patients: 25 had pulmonary tuberculosis, 6 tumours, 35 stump inflammation, and 23 other diseases. YAG laser was used in 52 patients: 15 of them had tumours, 21 bronchial tuberculosis, 6 osteochondropathy and 10 other diseases. A good therapeutic result was obtained in most patients but in certain cases (malignant tumours) it was palliative. Special features and technical difficulties encountered during work with different types of lasers in fibroscopy under anesthesia and in fibrobronchoscopy under local narcosis are discussed. No complications were registered. Formation of the so-called "white thrombus" at the site of laser photodestruction was described which required removal during control bronchoscopy.
对141例患者实施了激光辐射支气管镜检查。89例患者使用了二氧化碳激光：其中25例患有肺结核，6例患有肿瘤，35例残端炎症，23例患有其他疾病。52例患者使用了钇铝石榴石激光：其中15例患有肿瘤，21例患有支气管结核，6例患有骨软骨病，10例患有其他疾病。大多数患者取得了良好的治疗效果，但在某些病例（恶性肿瘤）中为姑息性治疗。讨论了在麻醉下纤维镜检查和局部麻醉下纤维支气管镜检查中使用不同类型激光时遇到的特殊情况和技术难题。未记录到并发症。描述了在激光光凝部位形成所谓的“白色血栓”，在对照支气管镜检查时需要清除。
