中国实用内科杂志 ›› 2013, Vol. 33 ›› Issue (2): 116-118.

• 专题笔谈 • 上一篇    下一篇

球囊扩张疗法治疗良性气道狭窄临床应用

张杰   

  1. 作者单位:首都医科大学附属北京天坛医院呼吸内科,北京 100050
  • 出版日期:2013-01-31 发布日期:2013-01-31
  • 作者简介:张杰,主任医师、教授、硕士生导师。首都医科大学附属北京天坛医院呼吸内科兼感染科主任。兼任北京医学会呼吸病学会及感染学会委员,卫生部呼吸内镜诊疗技术专家组成员,中华医学会呼吸病学分会介入学组成员,中国支气管病及介入肺脏病学会常委。

Balloon dilatation for the treatment of benign airway stenosis.

ZHANG Jie.   

  1. Department of Respiratory Medicine,Beijing Tiantan Hospital,Capital Medical University,Beijing 100050,China
  • Online:2013-01-31 Published:2013-01-31

摘要:

临床研究显示,电凝治疗气道瘢痕病变时可导致对气道更严重、更大范围的损伤,从而引起再狭窄并最终导致治疗失败。根据良性气道瘢痕狭窄的不同情况,采用单纯球囊扩张治疗,或采用针形电刀和(或)冷冻对瘢痕组织进行先期松解,然后在辅以球囊扩张,是目前治疗良性瘢痕增生性气道狭窄疗效相对可靠且并发症相对较少的方法。经合理恰当的球囊扩张治疗,其疗效在80%以上,值得在临床中加以推广。

关键词: 气道介入治疗, 良性气道狭窄, 球囊扩张

Abstract:

Abstract:It has been suggested by clinical researches that electric coagulation may,during the treatment of benign airway cicatricial stenosis,result in worsened and more extensive airway stenosis leading to failure of treatment as a consequence of re-stenosis.Depending on the conditions of airway cicatricial stenosis,balloon dilatation for relaxation of the scars and the subsequent combination with needle electrical knife and/or cryotherapy may be a comparatively safe and effective approach for benign airway cicatricial stenosis.Balloon dilatation deserves further clinical promotion inasmuch that preferable efficacy may be achieved in more than 80% of cases when appropriately handled.

Key words: interventional bronchoscopy, benign airway stenosis, balloon dilatation

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