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冷冻手术在气管支气管狭窄支气管镜治疗中的应用。适应证、局限性及个人经验。

Cryosurgery in bronchoscopic treatment of tracheobronchial stenosis. Indications, limits, personal experience.

作者信息

Marasso A, Gallo E, Massaglia G M, Onoscuri M, Bernardi V

机构信息

First Pneumology Department, San Luigi Hospital, Orbassano, Torino, Italy.

出版信息

Chest. 1993 Feb;103(2):472-4. doi: 10.1378/chest.103.2.472.

DOI:10.1378/chest.103.2.472
PMID:8432138
Abstract

Cryosurgery is one of the techniques available for bronchoscopic treatment of malignant and nonmalignant tracheobronchial stenosis; other techniques are electrosurgery, laser therapy, and endobronchial brachytherapy. Our experience began in 1976 and includes more than 300 patients treated with bronchoscopic cryosurgery either for malignant (the majority) or for nonmalignant tracheobronchial lesions. This study was performed on 234 patients treated in the years 1979 to 1988 subdivided as follows: 183 malignant tumors, 44 benign tumors, and 7 tumors of uncertain prognosis (adeno). The study demonstrated satisfying results in both (palliative in the first case, almost radical in the second one). The aim of our work was to report our personal data and to compare advantages and limits of this technique to others.

摘要

冷冻手术是用于支气管镜治疗恶性和非恶性气管支气管狭窄的技术之一;其他技术包括电外科手术、激光治疗和支气管内近距离放射治疗。我们的经验始于1976年,包括300多名接受支气管镜冷冻手术治疗的患者,治疗的疾病既有恶性的(占大多数),也有非恶性的气管支气管病变。本研究对1979年至1988年期间治疗的234例患者进行,细分如下:183例恶性肿瘤、44例良性肿瘤和7例预后不确定的肿瘤(腺瘤)。研究表明两种情况均取得了令人满意的结果(第一种情况是姑息性的,第二种情况几乎是根治性的)。我们工作的目的是报告我们的个人数据,并将该技术的优缺点与其他技术进行比较。

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