Vanderschueren R G, Westermann C J
Department of Pulmonary Diseases, St. Antonius Hospital, Nieuwegein, The Netherlands.
Lung. 1990;168 Suppl:1089-94. doi: 10.1007/BF02718248.
Endobronchial Nd:Yag laser therapy is an excellent tool to reopen the central airway(s) in patients with severe respiratory symptoms caused by endobronchial tumor growth. Rigid bronchoscopy should be the method of choice. Usually general anesthesia is necessary. Complication rate depends on the condition of the patient, the localization of the tumor, patient selection criteria, method of endoscopy, method of anesthesia, method of laser energy application, and last but not least, the operator's skills and the treating team's cooperation. A very careful monitoring of the patient's condition during and after the operative procedure is mandatory. Only when all these conditions are fulfilled can endobronchial Nd:Yag laser therapy have a great benefit for the patient with a low grade, acceptable complication rate.
对于因支气管内肿瘤生长导致严重呼吸道症状的患者，支气管内钕钇铝石榴石激光治疗是重新开通中央气道的一种极佳工具。硬支气管镜检查应作为首选方法。通常需要全身麻醉。并发症发生率取决于患者的病情、肿瘤的位置、患者选择标准、内镜检查方法、麻醉方法、激光能量应用方法，以及最后但同样重要的是，操作者的技能和治疗团队的协作。在手术过程中和术后对患者病情进行非常仔细的监测是必不可少的。只有当所有这些条件都满足时，支气管内钕钇铝石榴石激光治疗才能在并发症发生率低且可接受的情况下，给患者带来极大益处。
