Özdemir Cengiz, Sökücü Sinem Nedime, Kocatürk Celalettin İbrahim, Kara Kaan, Tural Önür Seda, Altın Sedat, Dalar Levent
Clinic of Chest Diseases, Istanbul Yedikule Chest Diseases and Chest Surgery Training and Research Hospital, Istanbul, Turkey.
Clinic of Chest Surgery, Istanbul Yedikule Chest Diseases and Chest Surgery Training and Research Hospital, Istanbul, Turkey.
Tuberk Toraks. 2019 Mar;67(1):15-21. doi: 10.5578/tt.67901.
We aimed to evaluate the efficacy of flexible bronchoscopic cryoextraction in the treatment of airw ay obstruction arise from mucus plugs and blood clots and present our experience.
The present study evaluated patients who previously underwent unsuccessful flexible bronchoscopy for the removal of secretions and blood clots in the central airway and who underwent flexible bronchoscopic cryoextraction between January 2013-November 2017.
The study included seven patients with a mean age of 58.29 ± 18.56 years (28-76). Three patients underwent bedside intervention in the intensive care unit, and four patients underwent an intervention in the bronchoscopy unit. Seven patients underwent a total of nine sessions of cryoextraction. Severe complications or mortality did not occur during the cryoextraction sessions.
Flexible bronchoscopic cryoextraction offers a safe treatment strategy as an alternative to rigid bronchoscopy in patients in whom airway patency cannot be achieved using other flexible bronchoscopic interventions. and accuracy of PET was higher compared to CT with this cut-off value.
我们旨在评估可弯曲支气管镜下冷冻摘除术治疗黏液栓和血凝块所致气道阻塞的疗效，并分享我们的经验。
本研究评估了2013年1月至2017年11月期间，因中央气道分泌物和血凝块清除失败而接受过可弯曲支气管镜检查，随后又接受可弯曲支气管镜下冷冻摘除术的患者。
该研究纳入了7名患者，平均年龄为58.29±18.56岁（28 - 76岁）。3例患者在重症监护病房接受床旁干预，4例患者在支气管镜室接受干预。7例患者共接受了9次冷冻摘除术。冷冻摘除术期间未发生严重并发症或死亡。
对于无法通过其他可弯曲支气管镜干预实现气道通畅的患者，可弯曲支气管镜下冷冻摘除术是一种安全的治疗策略，可替代硬质支气管镜检查。并且在此截断值下，PET的准确性高于CT。
