Díaz Jiménez J P, Canela Cardona M, Maestre Alcacer J, Balust Vidal M, Fontanals Tortra J, Balust Vidal J
Med Clin (Barc). 1989 Sep 16;93(7):244-8.
Overall, 400 procedures with the Yag-Nd laser were carried out in 252 patients with tracheobronchial disease susceptible to photoresection during a 4-year period. Most procedures were carried out under general anesthesia and with a rigid bronchoscope. 149 tumors were treated. Of these, 118 were malignant, 16 had low malignancy and 15 were benign. These patients received overall 203 procedures. 92 patients with 113 tracheal stenoses underwent overall 185 procedures. Finally, a miscellaneous group of 11 patients with several conditions underwent 12 procedures. Immediate results were classified as excellent, good or poor, depending on the achieved tracheal or bronchial diameter. No significant complications were found. After a 4-year experience, the authors believe that laser photoresection is currently the most effective and safe procedure to relieve obstruction in the stenoses caused by malignant proliferative tracheal or bronchial diseases not amenable to surgery. It is also the ideal substitute for surgery in benign tumors and in some cases of non-tumoral tracheal stenosis.
总体而言，在4年时间里，对252例易受光切除术治疗的气管支气管疾病患者实施了400例钇铝石榴石激光手术。大多数手术在全身麻醉和硬支气管镜下进行。共治疗了149例肿瘤，其中118例为恶性，16例为低度恶性，15例为良性。这些患者共接受了203例手术。92例患有113处气管狭窄的患者共接受了185例手术。最后，11例患有多种病症的患者接受了12例手术。根据所达到的气管或支气管直径，将即时结果分为优、良或差。未发现重大并发症。经过4年的经验，作者认为激光光切除术目前是缓解由恶性增殖性气管或支气管疾病引起的、无法进行手术的狭窄梗阻最有效和安全的方法。它也是良性肿瘤以及某些非肿瘤性气管狭窄病例中手术的理想替代方法。
