硬质支气管镜联合可弯曲支气管镜治疗12例气道良性肿瘤的临床分析

Rigid bronchoscopy combined with flexible bronchoscopy in the treatment of 12 cases of benign airway tumors

摘要:

目的 探讨硬质支气管镜联合可弯曲支气管镜治疗气道良性肿瘤的效果、安全性和可行性。方法 回顾性分析2018年12月－2019年10月咸阳市中心医院呼吸与危重症医学科通过硬质支气管镜介入联合可弯曲支气管镜治疗的气道良性肿瘤12例。观察治疗前后患者临床表现、气道内径、气促指数、第1秒用力呼气容积（FEV₁）的变化情况，并对不同类型气道良性肿瘤影像学、镜下表现进行分析。结果 采用硬质支气管镜介入联合可弯曲支气管镜治疗后，12例患者临床表现均得到明显改善，治疗前后气道内径和FEV₁变化情况比较，差异均有统计学意义，且气促指数明显改善，治疗过程中1例患者出血较多，约30 mL，使用球囊压迫止血后好转，无1例患者死亡。结论 应用硬质支气管镜介入联合可弯曲支气管镜治疗气道良性肿瘤，可以快速清除瘤体组织，缓解气道狭窄，改善患者临床症状，是一种高效、安全的方法，具有良好的临床应用前景。

Abstract:

Objective To explore the effect, safety and feasibility of rigid bronchoscope combined with flexible bronchoscope in the treatment of benign airway tumors.Methods From December 2018 to October 2019, 12 cases of benign tumor of the airway were analyzed retrospectively. The changes of clinical manifestations, airway diameter, shortness of breath index and FEV₁ were observed before and after treatment. The imaging, microscopic manifestations and pathology of different types of benign tumor of the airway were analyzed.Results After treatment with rigid bronchoscope combined with flexible bronchoscope, the clinical manifestations of 12 patients were significantly improved. There were significant differences in airway diameter and FEV₁ before and after treatment, and the shortness of breath index was significantly improved. During the treatment, one patient had more bleeding, about 30 mL, improved after balloon compression, and no patient died.Conclusion Rigid bronchoscopy combined with flexible bronchoscopy is an effective and safe method in the treatment of benign airway tumors, which can quickly remove tumor tissues, relieve airway stenosis and improve the clinical symptoms of patients.