Interventional Pulmonology and Complex Airways Disease Program, Division of Thoracic Surgery and Interventional Pulmonology, Inova Fairfax Medical Center, Falls Church, VA.
Division of Pulmonary and Critical Care Medicine, University of Connecticut Medical School, Hartford, CT.
Chest. 2020 Feb;157(2):446-453. doi: 10.1016/j.chest.2019.08.1919. Epub 2019 Aug 28.
Central airway obstruction (CAO) is associated with significant morbidity and increased mortality. Bronchoscopic electrosurgical and laser ablative tools have proven to be safe and effective instruments for the treatment of malignant CAO. Although therapeutic modalities such as electrocautery, argon plasma coagulation, and laser have been used for decades, additional tools including radiofrequency ablation catheters continue to be developed for the treatment of CAO. These modalities are considered safe in the hands of experienced operators, although serious complications can occur. This review describes various electrosurgical and laser therapy tools used for the treatment of malignant CAO along with the specific advantages and disadvantages of each device.
中央气道阻塞（CAO）与较高的发病率和死亡率相关。支气管镜下电外科和激光消融工具已被证明是治疗恶性 CAO 的安全有效的手段。虽然电灼、氩等离子凝固和激光等治疗方式已经使用了数十年，但包括射频消融导管在内的其他工具也在不断被开发出来，用于治疗 CAO。在经验丰富的操作者手中，这些方式被认为是安全的，尽管可能会出现严重的并发症。本文综述了用于治疗恶性 CAO 的各种电外科和激光治疗工具，以及每种设备的具体优缺点。
