Health Sciences University, Izmir Dr. Suat Seren Training and Research Hospital for Thoracic Medicine and Surgery, 35110, Izmir, Turkey.
Clin Chest Med. 2018 Mar;39(1):139-148. doi: 10.1016/j.ccm.2017.11.008.
Endobronchial ablative therapies, such as mechanical debulking, laser therapy, electrocautery, argon plasma coagulation, cryotherapy, brachytherapy, photodynamic therapy, microdebrider bronchoscopy, resector balloon deobstruction, and intratumoral chemotherapy, are performed through a rigid or flexible bronchoscope in palliating or curing symptomatic malignant and benign airway lesions to improve symptoms, quality of life, and survival. Technical factors together with patient- and lesion-specific features determine the therapy of choice, as each therapy is different in capacity, limitation, and complications. In this article, indications, contraindications, and complications of endobronchial ablative therapies as well as practical issues related to their rational and cost-effective use are reviewed.
经支气管镜介入治疗，如机械切除术、激光治疗、电烙术、氩等离子凝固术、冷冻疗法、近距离放射治疗、光动力疗法、微型活检支气管镜检查、球囊扩张切除术和肿瘤内化疗，通过硬质或软质支气管镜进行，以缓解或治疗有症状的恶性和良性气道病变，从而改善症状、生活质量和生存。技术因素以及患者和病变的具体特征决定了治疗方法的选择，因为每种治疗方法的能力、局限性和并发症都不同。本文回顾了经支气管镜介入消融治疗的适应证、禁忌证和并发症，以及与合理和经济有效使用这些治疗方法相关的实际问题。
