Kvernebo K, Myklebust R, Røtnes T
Kirurgisk avdeling, Aker sykehus, Oslo.
Tidsskr Nor Laegeforen. 1993 Feb 20;113(5):579-81.
Tracheobronchial stenoses can be caused by growth of endoluminal tumour or by external compression. Endoluminal tumours can be treated by means of endoscopically applied lasers, while tumours in the oesophagus, thyroid gland, or lymph nodes which compress the airways connor be reached by this type of treatment. We report four cases where life-threatening compression of airways by malignant tumours was successfully relieved by stenting the trachea with a silicone stent, Endoxane. The stent was inserted through a rigid bronchoscope, and the operative procedure was uneventful in all cases. Postoperatively, the patients did not experience severe discomfort from the stent, and neither dislocation of the stent nor retention of secretions was a problem. All the patients died of cancer-related causes, but none died from suffocation. It is concluded that tracheo-bronchial stenting is a valuable supplement to irradiation in palliative treatment of airway compression of airways caused by malignant tumours.
气管支气管狭窄可由腔内肿瘤生长或外部压迫引起。腔内肿瘤可通过内镜应用激光治疗，而食管、甲状腺或淋巴结中的肿瘤压迫气道，这种治疗方式无法触及。我们报告了4例因恶性肿瘤导致气道危及生命的压迫，通过使用硅胶支架Endoxane对气管进行支架置入成功缓解的病例。支架通过硬支气管镜插入，所有病例手术过程均顺利。术后，患者未因支架出现严重不适，支架未发生移位，也不存在分泌物潴留问题。所有患者均死于癌症相关原因，但无一例死于窒息。结论是，气管支气管支架置入术是恶性肿瘤所致气道压迫姑息治疗中放疗的重要补充。
