气管支气管狭窄的介入治疗
Interventional management of tracheobronchial strictures.
作者信息
Shin Ji Hoon
机构信息
Ji Hoon Shin, Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center 388-1, Pungnap-2dong, Songpa-gu, Seoul 138-736, South Korea.
出版信息
World J Radiol. 2010 Aug 28;2(8):323-8. doi: 10.4329/wjr.v2.i8.323.
Abstract
Tracheobronchial balloon dilation and stent placement have been well used in the treatment of patients with benign and/or malignant diseases. Balloon dilation is the first option in the treatment of benign airway stenosis. Although balloon dilation is simple and fast, recurrence rate is high. Stent placement promptly relieves acute airway distress from malignant extraluminal and intraluminal airway obstruction. Temporary stent placement may be an alternative for benign airway strictures refractory to balloon dilation. This article reviews the indications, pre-procedure evaluation, technique, outcomes and complications of balloon dilation and stent placement with regard to benign and malignant tracheobronchial stenoses.
摘要
气管支气管球囊扩张术和支架置入术已广泛应用于良性和/或恶性疾病患者的治疗。球囊扩张术是治疗良性气道狭窄的首选方法。虽然球囊扩张术操作简单、速度快，但复发率高。支架置入术可迅速缓解恶性管腔外和管腔内气道阻塞引起的急性气道窘迫。对于球囊扩张术治疗无效的良性气道狭窄，可选择临时支架置入术。本文综述了气管支气管良性和恶性狭窄的球囊扩张术和支架置入术的适应证、术前评估、技术、疗效及并发症。
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