McGinn Joseph, Herbert Benoit, Maloney Andrew, Patton Byron, Lazzaro Richard
Department of Surgery, General Surgery Residency, North Shore-LIJ, Northwell Health System, Manhasset, NY, USA.
Department of Thoracic Surgery, Lenox Hill Hospital, Northwell Health System, New York, NY, USA.
J Thorac Dis. 2020 Nov;12(11):6925-6930. doi: 10.21037/jtd.2020.03.08.
Tracheobronchomalacia (TBM) is an obstructive airway disease characterized by laxity and redundancy of the posterior membrane of the main airways leading to dynamic airway collapse during exhalation. The gold standard for diagnosis is dynamic computed tomography (DCT) scan and dynamic flexible bronchoscopy (DFB). Patients with complete or near-complete collapse (>90% reduction in cross-sectional area) of the airway are possible candidates for surgical management. Central airway stabilization by tracheobronchoplasty (TBP) effectively corrects malacic airways and has demonstrated significant improvement in objective functional measures, which is often but not uniformly accompanied by equal improvement in health-related quality of life (HRQOL) metrics. This article reviews HRQOL instruments used to report outcomes after TBM surgery.
气管支气管软化症（TBM）是一种阻塞性气道疾病，其特征是主气道后膜松弛和冗余，导致呼气时气道动态塌陷。诊断的金标准是动态计算机断层扫描（DCT）和动态可弯曲支气管镜检查（DFB）。气道完全或接近完全塌陷（横截面积减少>90%）的患者可能适合手术治疗。通过气管支气管成形术（TBP）进行中央气道稳定可有效纠正软化气道，并已在客观功能指标上显示出显著改善，这通常但并非始终伴随着健康相关生活质量（HRQOL）指标的同等改善。本文综述了用于报告TBM手术后结果的HRQOL工具。
