Flack H G
Zentrum für Pneumologie und Thoraxchirurgie, Klinik Hagen Ambrock.
Pneumologie. 1993 May;47(5):344-7.
In the treatment of malignant tracheobronchial stenosis stents are playing an increasing role. Most frequently silicone stents are used. A long-term complication of brachytherapy and laser is malacia-tracheobronchial stenosis. To improve the dyspnea and stridor, a novel technique is described by implanting a self-expanding metal-stent via the flexible fiberoptic-bronchoscope only in local anaesthesia. This procedure is fast, easy to handle and atraumatic and has lower risk of perforation, fistula, migration, bleeding and plugging by phlegm. The self-expanding metal-stent is very useful and reasonably effective for palliative treatment of tracheomalacia and malignant tracheobronchial stenosis.
在恶性气管支气管狭窄的治疗中,支架发挥着越来越重要的作用。最常使用的是硅酮支架。近距离放射治疗和激光治疗的一个长期并发症是气管支气管软化狭窄。为改善呼吸困难和喘鸣,本文描述了一种仅在局部麻醉下通过可弯曲纤维支气管镜植入自膨式金属支架的新技术。该操作快速、易于操作且无创,穿孔、瘘管形成、移位、出血和痰液堵塞的风险较低。自膨式金属支架对于气管软化和恶性气管支气管狭窄的姑息治疗非常有用且相当有效。