Özgül Mehmet Akif, Çetinkaya Erdoğan, Seyhan Ekrem Cengiz, Turan Demet, Uğur Chousein Efsun Gonca, Özgül Güler, Doğan Deniz
Clinic of Chest Diseases, Istanbul Yedikule Chest Diseases and Chest Surgery Training and Research Hospital, Istanbul, Turkey.
Clinic of Chest Diseases, Istanbul Bagcilar Training and Research Hospital, Istanbul, Turkey.
Tuberk Toraks. 2019 Dec;67(4):272-284. doi: 10.5578/tt.68967.
Tracheobronchial stents (TBS) are the principal modalities in the management of central airway obstruction with intrinsic tracheobronchial pathology and extrinsic airway compression. The aim of the study is to assess the indications, surveillance management, complications, and long-term outcomes of the TBS managed by rigid bronchoscopy (RB) in our 10-year experience.
The files of all patients who underwent stenting in two centers from November 2008 to September 2018 were reviewed for background data, type of disease, and indication for the placement of stents, symptoms, treatment, complications and outcome.
305 patients were stented with 342 TBS. TBS were placed in both malignant (n= 223) and benign airway diseases (n= 82). The median length of stent stay was 88 (34-280) days in patients with malignancies and 775 (228-2085) days in benign diseases. There was no stent-related mortality. Mucostasis (19%) and granulation tissue formation (17%) were the most common stentrelated complications. Benign nature of the disease, tumors metastatic to tracheobronchial tree, lenght of stent stay, and shape of stent were associated with the development of complications.
TBS offer a safe and effective therapy for patients with both benign and malign tracheobronchial pathologies.
气管支气管支架（TBS）是治疗气管支气管内在病变和外在气道压迫所致中央气道阻塞的主要方式。本研究旨在评估在我们10年的经验中，经硬质支气管镜（RB）置入TBS的适应证、监测管理、并发症及长期疗效。
回顾了2008年11月至2018年9月在两个中心接受支架置入的所有患者的病历，以获取背景数据、疾病类型及支架置入适应证、症状、治疗、并发症和预后情况。
305例患者置入了342个TBS。TBS用于恶性气道疾病（n = 223）和良性气道疾病（n = 82）。恶性疾病患者支架留置的中位时间为88（34 - 280）天，良性疾病患者为775（228 - 2085）天。无支架相关死亡病例。黏液潴留（19%）和肉芽组织形成（17%）是最常见的与支架相关的并发症。疾病的良性性质、转移至气管支气管树的肿瘤、支架留置时间和支架形状与并发症的发生相关。
TBS为良性和恶性气管支气管病变患者提供了一种安全有效的治疗方法。
