高频电圈套治疗气道肿瘤的临床应用

Clinical application of high-frequency electric snare in treatment of airway neoplasm

摘要:

目的 探讨支气管镜下高频电圈套在中心气道肿瘤狭窄治疗中的临床疗效和安全性。方法 回 顾性分析2013 年7 月-2016 年4 月支气管镜下高频电圈套治疗中心气道狭窄患者18 例，部分联合氩离子凝 固术（APC）和冷冻术，观察术后症状缓解情况及并发症。结果 术后临床症状明显改善，气促缓解，气促指 数评分好转，气道狭窄程度改善。所有患者均未出现大咯血等严重并发症。结论 支气管镜下高频电圈套治 疗中心气道肿瘤狭窄安全有效。

Abstract:

Objective To investigate the clinical efficacy and safety of high-frequency electric snare for the treatment of main airway neoplasm through bronchoscopy. Methods The clinical datas of 18 patients from July 2013 to April 2016, who had main airway neoplasm and were treated with high-frequency electric snare through bronchoscopy, were retrospectively analyzed. Meanwhile, the interventional bronchoscopic techniques partly included argon plasma coagulation and cryoablation. After operarion, the relief of symptoms and complications were observed. Results After operarion, the clinical symptoms, shortness of breath, dyspnea index score and the degree of airway stenosis were improved significantly. No serious complications such as massive hemoptysis occurred in all patients. Conclusion High-frequency electric snare is an effective and safe approach for the treatment of main airway neoplasm.