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[支气管镜下氩等离子体凝固术治疗支气管癌]

[Bronchoscopic argon plasma coagulation therapy for bronchial carcinoma].

作者信息

Yang Hongzhong, Yang Huaping, Zhou Yanzhi, Qu Sujie, Hu Chengping

机构信息

Department of Respiratory Medicine, Xiangya Hospital, Central South University, Changsha 410008, China.

出版信息

Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2009 Jul;34(7):651-4.

Abstract

OBJECTIVE

To evaluate the effect of bronchoscopic argon plasma coagulation therapy on bronchial carcinoma.

METHODS

Thirty-one bronchial carcinoma patients were diagnosed by bronchoscope and pathological tests, with or without atelectasis or obstructive pneumonia on chest X-ray or chest CT. Argon plasma coagulation therapy was performed through bronchoscope. The location of the airway lesions, the degree of obstruction, dyspnea index, and complications were evaluated.

RESULTS

The patients with bronchial carcinoma were treated 1-4 times by bronchoscopic argon plasma coagulation therapy. Full effectiveness was achieved in 15 patients (48.4 %), partial in 12 (38.7 %), and mild in the other 4 (12.9 %). The overall effective rate was 100%.

CONCLUSION

Bronchoscopic argon plasma coagulation therapy for bronchial carcinoma can remarkably reduce the tumor size, relieve clinical symptoms, and alleviate the obstruction caused by bronchial neoplasm. Bronchoscopic argon plasma coagulation therapy is an effective and safe method for patients with bronchial carcinoma.

摘要

目的

评估支气管镜下氩等离子体凝固治疗对支气管癌的疗效。

方法

31例支气管癌患者经支气管镜及病理检查确诊,胸部X线或胸部CT检查有或无肺不张或阻塞性肺炎。通过支气管镜进行氩等离子体凝固治疗。评估气道病变的位置、阻塞程度、呼吸困难指数及并发症。

结果

支气管癌患者接受支气管镜下氩等离子体凝固治疗1 - 4次。15例(48.4%)达到完全有效,12例(38.7%)部分有效,另4例(12.9%)轻度有效。总有效率为100%。

结论

支气管镜下氩等离子体凝固治疗支气管癌可显著缩小肿瘤大小,缓解临床症状,减轻支气管肿瘤所致阻塞。支气管镜下氩等离子体凝固治疗是支气管癌患者一种有效且安全的方法。

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