Medicosurgical Pediatric Department, Hopital Hautepierre, Avenue Moliere, University Hospital Strasbourg, Strasbourg F67098, France.
Pulmonary Department, Hanoi National Hospital of Pediatrics, La Thanh Street, Hanoi, Vietnam.
Clin Chest Med. 2018 Mar;39(1):229-238. doi: 10.1016/j.ccm.2017.11.017.
Although controversy over the role of flexible versus rigid bronchoscopy for airway foreign body management persists, the effort should focus on prevention of aspiration of foreign bodies instead. This article discusses several recent advances in the bronchoscopic management of congenital tracheal stenosis, pediatric airway stenting, and the use of different types of lasers in children. The lack of randomized clinical trials leaves pediatric interventional bronchoscopic procedures without much national or international standards or guidelines. The number of published data in the form of cases reports and case series remains modest. More bronchoscopists should be trained in this growing field to overcome these limitations.
虽然对于柔性支气管镜与刚性支气管镜在气道异物管理中的作用仍存在争议，但重点应放在预防异物吸入上。本文讨论了支气管镜介入治疗先天性气管狭窄、儿童气道支架置入术以及不同类型激光在儿童中的应用等方面的一些最新进展。由于缺乏随机临床试验，小儿介入性支气管镜操作程序没有多少国家或国际标准或指南。以病例报告和病例系列形式发表的数据数量仍然不多。应该有更多的支气管镜医师在这个不断发展的领域接受培训，以克服这些局限性。
