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气道支架。现状与未来。

Airway stents. Present and future.

作者信息

Colt H G, Dumon J F

机构信息

Division of Pulmonary and Critical Care Medicine, University of California San Diego, USA.

出版信息

Clin Chest Med. 1995 Sep;16(3):465-78.

PMID:8521701
Abstract

Tracheobronchial stent insertion is a relatively new technique used to palliate or cure central airways obstruction. When performed by experienced thoracic endoscopists, this procedure is both safe and effective, even if complications of indwelling stents may require repeat endoscopic intervention. Although proven clinically beneficial to many patients, airway prostheses have not yet been the subject of large comparative case studies or randomized controlled investigations. Reports are often experiential and anecdotal. Further research is needed to determine the effects of stenting on survival in patients with malignant airway disease and its degree of success in patients with benign airway strictures. Only then will airway stents truly deserve their place alongside other therapies for tracheobronchial obstruction.

摘要

气管支气管支架置入术是一种用于缓解或治疗中央气道阻塞的相对较新的技术。由经验丰富的胸科内镜医师进行该手术时,即使留置支架的并发症可能需要重复内镜干预,此手术也是安全有效的。尽管已证明对许多患者具有临床益处,但气道假体尚未成为大型对照病例研究或随机对照研究的主题。报告往往是经验性和轶事性的。需要进一步研究以确定支架置入术对恶性气道疾病患者生存的影响及其在良性气道狭窄患者中的成功程度。只有到那时,气道支架才能真正在气管支气管阻塞的其他治疗方法中占有一席之地。

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