Heitz M
Schweiz Rundsch Med Prax. 1989 Feb 14;78(7):170-3.
Endobronchial laser-therapy is reviewed in perspective to other palliating modalities such as radio- and chemotherapy. Laser treatment is most suited for exophytic tumors of the trachea and larger bronchi. Favorable for reventilation of atelectases are: short duration of luminal obstruction patent peripheral bronchi as evidenced by computed tomography, exophytic growth in the main or intermediary bronchus. The intervention can be performed using either fiber optics or the rigid bronchoscope in one or more sessions. For processes in the trachea or the main bronchi the method of choice is a single treatment using the rigid instrument.
本文将支气管内激光治疗与其他姑息治疗方式(如放疗和化疗)进行了对比回顾。激光治疗最适用于气管和较大支气管的外生性肿瘤。有利于肺不张复张的因素包括:管腔阻塞持续时间短、计算机断层扫描显示外周支气管通畅、主支气管或中间支气管呈外生性生长。该干预可通过纤维光学器械或硬质支气管镜分一次或多次进行。对于气管或主支气管的病变,首选方法是使用硬质器械进行单次治疗。