Hooper R G, Jackson F N
Pulmonary and Respiratory Care Services, Heart Lung Center, St. Luke's Medical Center, Phoenix, AZ.
Chest. 1988 Sep;94(3):595-8. doi: 10.1378/chest.94.3.595.
Endobronchial electrocautery is a tool with diagnostic and therapeutic applications in the management of obstructing endobronchial disease. We have performed cautery procedures in 18 patients. Of these 18, five patients had benign diagnoses and 13 had malignancies. All patients with benign lesions had only endobronchial resections and four have done well. Four procedures resulted in the establishment of a diagnosis which had eluded other biopsy techniques. In 11 patients with malignant disease, electrocautery was used for palliation of airway obstruction, and in two patients, the snare was used as a biopsy technique. There have been no complications while utilizing the snare; however, application of electrocautery probes was associated with two complications. Our experience demonstrates the value and safety of using cautery wire snares to diagnose and treat endobronchial lesions.
支气管内电烙术是一种在阻塞性支气管疾病管理中具有诊断和治疗应用的工具。我们对18例患者进行了烙术操作。在这18例患者中，5例诊断为良性疾病，13例为恶性肿瘤。所有良性病变患者仅接受了支气管内切除术，其中4例情况良好。4例手术确立了其他活检技术未能明确的诊断。在11例恶性疾病患者中，电烙术用于缓解气道阻塞，在2例患者中，圈套器用作活检技术。使用圈套器时未出现并发症；然而，电烙术探头的应用出现了2例并发症。我们的经验证明了使用烙术钢丝圈套器诊断和治疗支气管内病变的价值和安全性。
