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儿童支气管狭窄的纤维支气管镜球囊扩张术

Fiberoptic Bronchoscopic Balloon Dilatation of Bronchial Stenosis in Children.

作者信息

Köse Mehmet, Hangül Melih, Erkan Gözde Nur, Narin Nazmi

机构信息

Department of Pediatrics, Division of Pediatric Pulmonology.

Departments of Anesthesia.

出版信息

J Bronchology Interv Pulmonol. 2019 Oct;26(4):260-264. doi: 10.1097/LBR.0000000000000581.

Abstract

BACKGROUND

Bronchial stenosis and treatment with balloon dilatation are rarely experienced in children. The aim of this study was to investigate the results of fiberoptic bronchoscopic balloon dilatation (BBD) in children.

METHODS

Between January 2016 and March 2018, 7 children diagnosed as having bronchial stenosis and who underwent BBD as the first treatment option were enrolled in the study.

RESULTS

A total of 10 BBDs were performed in 7 patients with a median age of 10 months. Underlying causes were as follows: prolonged intubation and prematurity in 4 patients, extubation failure in 2 patients, and recurrent pneumonia and malignancy in 1 patient. The only complication was laceration, seen in 2 patients. The patients were symptom free for 11 months.

CONCLUSION

BBD is safe, effective, and might be the first-line treatment option for children with bronchial stenosis.

摘要

背景

儿童支气管狭窄及球囊扩张治疗较为少见。本研究旨在探讨儿童纤维支气管镜球囊扩张术(BBD)的治疗效果。

方法

2016年1月至2018年3月,7例诊断为支气管狭窄且将BBD作为首选治疗方案的儿童纳入本研究。

结果

7例患者共接受了10次BBD治疗,中位年龄为10个月。潜在病因如下:4例患者因长时间插管和早产,2例患者因拔管失败,1例患者因反复肺炎和恶性肿瘤。仅2例患者出现撕裂这一并发症。患者在11个月内无症状。

结论

BBD安全、有效,可能是儿童支气管狭窄的一线治疗方案。

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