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[钕-钇铝石榴石激光治疗气管支气管病变]

[Nd-YAG laser treatment of tracheobronchial lesions].

作者信息

Li J H, Zhao H Z, Chen L A

出版信息

Zhonghua Nei Ke Za Zhi. 1989 Jul;28(7):418-20, 444-5.

PMID:2591262
Abstract

From January 1987 to May 1988, 32 cases with tracheobronchial lesions were treated with Nd-YAG laser. Complete restoration of the airway was achieved in one case of leiomyoma, adenoma, carcinoid and mucous epithelioma each, 2 cases of polyp and 7 cases of granuloma. Significant restoration was seen in one case of granuloma, 2 cases of hematoma and papilloma, each, 3 cases of amyloidosis and partial restoration in one case of granuloma. The remaining 10 cases with squamous cell carcinoma and adenocarcinoma with severe airway obstruction were treated by Nd-YAG laser for palliative purpose only. Four of them revealed significant remission and 6 responded with partial remission. No severe complication was observed during or after the procedures. Nd-YAG laser treatment provides a new curative method avoiding resection of the lung in benign lesions and a palliative therapy for unresectable obstructive malignant tumors.

摘要

1987年1月至1988年5月,32例气管支气管病变患者接受了钕钇铝石榴石激光治疗。平滑肌瘤、腺瘤、类癌和粘液上皮瘤各1例,息肉2例,肉芽肿7例实现气道完全恢复。1例肉芽肿、2例血肿和乳头状瘤各有显著恢复,3例淀粉样变性,1例肉芽肿有部分恢复。其余10例鳞状细胞癌和腺癌伴严重气道阻塞患者仅接受钕钇铝石榴石激光姑息治疗。其中4例显著缓解,6例部分缓解。术中及术后均未观察到严重并发症。钕钇铝石榴石激光治疗为良性病变提供了一种避免肺切除的新治疗方法,也为不可切除的阻塞性恶性肿瘤提供了姑息治疗。

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