Müller C, Dienemann H, Hoffmann H, Berger H, Storck M, Jolk A, Schildberg F W
Chirurgische Klinik und Poliklinik, Klinikum Grosshadern, Ludwig-Maximilians-Universität München.
Zentralbl Chir. 1993;118(9):543-8.
The treatment of tracheo-bronchial stenosis or tracheomalacia is mainly carried out by means of resection or tracheoplastic operative strategies. Since the introduction of metal-mesh stents, a definitive endoluminal therapy has to be considered under new aspects. Six patients with malignant stenosis or tracheomalacia due to compression were treated by implantation of Palmaz- or Wallstents. Immediately after the implantation, patients were relieved from dyspnoea, the forced inspiratory volume-1 (FIV1) was normalized. All implanted stents were well tolerated, even in the long-time follow-up (19 months). Bronchoscopic control showed overgrowth of the metal meshes by respiratory epithelium. The implantation of metal-mesh stents is an adequate alternative in the treatment of malignant stenosis and tracheomalacia.
气管支气管狭窄或气管软化的治疗主要通过切除或气管成形手术策略来进行。自从金属网支架问世以来，必须从新的角度考虑确定性腔内治疗。6例因压迫导致恶性狭窄或气管软化的患者接受了Palmaz支架或Wallstent支架植入治疗。植入后，患者呼吸困难立即缓解，第1秒用力吸气量（FIV1）恢复正常。所有植入的支架耐受性良好，即使在长期随访（19个月）中也是如此。支气管镜检查显示金属网被呼吸道上皮过度生长覆盖。金属网支架植入是治疗恶性狭窄和气管软化的一种合适替代方法。
