Bolliger C T
Departement Innere Medizin, Universitätsklinik, Basel.
Praxis (Bern 1994). 1994 Dec 6;83(49):1378-82.
The field of bronchoscopy has considerably expanded in recent years. The rigid and flexible bronchoscope are both used for diagnostic and increasingly for therapeutic procedures; for the therapeutic procedures the term 'interventional bronchoscopy' has been coined. Apart from the more traditional indications for interventional bronchoscopies, such as aspiration of secretions and removal of foreign bodies, the treatment of inoperable stenoses of the central airways--benign or malignant--has moved to the center stage of interventional endoscopies. This review focuses on the technique and indication of the following procedures: bronchial toilette, foreign body removal, dilatation, diathermy, cryotherapy, photodynamic therapy, laser resection, brachytherapy and the insertion of stents (endoprostheses).
近年来,支气管镜检查领域有了相当大的扩展。硬质和柔性支气管镜都用于诊断,并且越来越多地用于治疗程序;对于治疗程序,创造了“介入性支气管镜检查”一词。除了介入性支气管镜检查更传统的适应症,如分泌物抽吸和异物清除外,中央气道不可手术的狭窄(良性或恶性)的治疗已成为介入性内镜检查的核心。本综述重点关注以下程序的技术和适应症:支气管灌洗、异物清除、扩张、透热疗法、冷冻疗法、光动力疗法、激光切除、近距离放射疗法以及支架(内置假体)植入。