支气管镜下冷冻联合氩等离子电凝治疗中央气道肺癌

目的　了解支气管镜下冷冻联合氩等离子电凝治疗中央气道肺癌的效果。方法　共３５例中央气道肺癌患者接受治疗，采用局部麻醉，支气管软镜下，应用氩等离子凝固治疗仪治疗中央气道阻塞性病变。术中采用冷冻、氩等离子电凝、冻切重复进行。对于较大的病变可分次手术，全部治疗结束１周后评价疗效。评价指标包括术前、术后呼吸困难指数，支气管镜检查等。结果　３５例患者，共接受治疗７６次。术前呼吸困难指数３.１±０.４７，术后１６±０.４３，缓解率为８４.０％；复查支气管镜，完全有效１１例（３１.４％），部分有效１５例（４２.９％），轻度有效５例（１４.３％），无效４例（１１.４％）。主要副作用包括：术后一过性呼吸困难加重１１例（３１.４％），咳嗽加重１３例（３７.１％），少量咯血１５例（４２.９％）。结论　在局麻下采用冷冻联合氩等离子电凝治疗中央气道肺癌近期疗效满意，可有效缓解症状，安全性较高。

The technique of cryosurgery combined with argon plasma coagulation for resecting central airway obstructive tumor via the flexible bronchoscope

Objective To evaluate the effect of cryosurgery combined with argon plasma coagulation for resecting central airway obstructive tumor via the flexible bronchoscope.Methods Endobronchial therapy was performed via flexible bronchoscope by K300 cryosurgery equipment and APC300 equipment for patients who suffered central airway obstructive tumor.The surgery methods include 3 steps,that are cryosurgery,argon plasma coagulation and cryosurgery resection.These 3 steps could be repeated.If the tumor was too large t...