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支气管镜下冷冻治疗在小儿肺部疾病中的应用进展

Progress in the Application of Bronchoscopic Cryotherapy in Pediatric Pulmonary Diseases.

作者信息

Tao Xiaofen, Li Shuxian, Wu Hujun, Jin Fang, Jin Guoping, Wu Lei

机构信息

Department of Pulmonology, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou 310052, China.

Department of Endoscopy Center, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou 310052, China.

出版信息

Children (Basel). 2024 Sep 18;11(9):1130. doi: 10.3390/children11091130.

Abstract

Cryotherapy in interventional bronchoscopy is a new treatment modality which has recently been made available for the pediatric airway. Lack of experience and safety concerns have led to hesitant adaptation. The aim of this work was to elaborate on the application progress of cryotherapy in pediatric pulmonary diseases and also to assess indications, success rates, and complications of airway cryotherapy in children. In summary, cryotherapy via flexible bronchoscopy is a safe and feasible method. The application scope in pediatrics is similar to that in adults, and it is mainly used in airway obstructive diseases. However, it is primarily caused by benign conditions, and the interventional treatment mainly seeks to provide long-lasting symptomatic alleviation. Thus, prevention, treatment, and prognosis of long-term complications are issues that should be carefully considered in pediatric applications.

摘要

介入性支气管镜检查中的冷冻疗法是一种最近才应用于小儿气道的新治疗方式。经验不足和安全担忧导致其应用较为谨慎。这项工作的目的是阐述冷冻疗法在小儿肺部疾病中的应用进展,并评估儿童气道冷冻疗法的适应症、成功率和并发症。总之,通过可弯曲支气管镜进行的冷冻疗法是一种安全可行的方法。其在儿科的应用范围与成人相似,主要用于气道阻塞性疾病。然而,其主要由良性疾病引起,介入治疗主要旨在提供持久的症状缓解。因此,长期并发症的预防、治疗和预后是儿科应用中应仔细考虑的问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/282e/11430481/714adc38fdcf/children-11-01130-g001.jpg

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