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结核性气管支气管狭窄:临床病理特征及支气管镜下二氧化碳激光治疗

Tuberculous tracheobronchial strictures: clinicopathological features and management with the bronchoscopic carbon dioxide laser.

作者信息

Tong M C, van Hasselt C A

机构信息

Department of Surgery, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, N.T.

出版信息

Eur Arch Otorhinolaryngol. 1993;250(2):110-4. doi: 10.1007/BF00179309.

DOI:10.1007/BF00179309
PMID:8507464
Abstract

Tuberculous tracheobronchial stricture is a rare disease entity at the present time. We report our experiences with carbon dioxide laser treatment for four patients with tuberculous strictures that were resistant to conventional management. All patients were relatively young but were debilitated by the disease. The lesions differed from other forms of benign tracheal strictures as they tended to involve the trachea and right side of the lung and were often multiple. The reasons for this are related to the organism per se and the anatomical arrangement of the tracheobronchial airway. The pathophysiology of tuberculous strictures in the tracheobronchial airway and the technique of bronchoscopic laser resection are outlined.

摘要

结核性气管支气管狭窄目前是一种罕见的疾病实体。我们报告了对4例常规治疗无效的结核性狭窄患者进行二氧化碳激光治疗的经验。所有患者相对年轻,但因疾病而身体虚弱。这些病变与其他形式的良性气管狭窄不同,因为它们往往累及气管和右肺,且常常是多发的。其原因与病原体本身以及气管支气管气道的解剖结构有关。本文概述了气管支气管气道结核性狭窄的病理生理学和支气管镜激光切除术技术。

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1
Tuberculous tracheobronchial strictures: clinicopathological features and management with the bronchoscopic carbon dioxide laser.结核性气管支气管狭窄:临床病理特征及支气管镜下二氧化碳激光治疗
Eur Arch Otorhinolaryngol. 1993;250(2):110-4. doi: 10.1007/BF00179309.
2
[Surgical treatment and endobronchial stentplacement for tuberculous tracheobronchial strictures].[结核性气管支气管狭窄的外科治疗及支气管内支架置入术]
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Endoscopic laser therapy for obstructing tracheobronchial lesions.内镜激光治疗气管支气管阻塞性病变。
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本文引用的文献

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Predictive factors of success or failure in the endoscopic management of laryngeal and tracheal stenosis.喉气管狭窄内镜治疗成败的预测因素
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Histological changes following Nd YAG laser photocoagulation of canine gastric mucosa.犬胃黏膜钕钇铝石榴石激光光凝后的组织学变化。
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Endoscopic treatment of subglottic and tracheal stenosis by radial laser incision and dilation.经内镜径向激光切开及扩张治疗声门下及气管狭窄
Ann Otol Rhinol Laryngol. 1987 Nov-Dec;96(6):661-4. doi: 10.1177/000348948709600609.
7
Endoscopic laser therapy for obstructing tracheobronchial lesions.内镜激光治疗气管支气管阻塞性病变。
Ann Otol Rhinol Laryngol. 1991 May;100(5 Pt 1):413-9. doi: 10.1177/000348949110000512.
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Endotracheal excision of fibrous tracheal stenosis and subsequent prolonged stenting an alternative method in selected cases.纤维性气管狭窄的气管内切除及随后的长期支架置入术:特定病例的一种替代方法。
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