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气管球囊扩张及镍钛合金气管支架置入治疗气管、支气管内膜结核狭窄
引用本文:敖国昆,李强,王仲元,王安生,梁建琴,黄沁,王巍. 气管球囊扩张及镍钛合金气管支架置入治疗气管、支气管内膜结核狭窄[J]. 当代医学, 2009, 3(5): 81-83
作者姓名:敖国昆  李强  王仲元  王安生  梁建琴  黄沁  王巍
作者单位:北京,100091,解放军总医院第二附属医院影像中心
摘    要:目的探讨应用气管球囊扩张和气管镍钛合金支架置入治疗气管、支气管内膜结核狭窄的疗效和安全性。方法52例气管、支气管内膜结核狭窄者,在纤维支气管镜监测下应用气管球囊扩张气管狭窄部,然后放置镍钛合金气管支架。结果经气管球囊扩张后,镍钛合金支架均一次性放置成功,支架扩张良好;术后呼吸困难症状立即缓解,术后支架处肉芽组织增生形成再度狭窄11例(21.1%),经激光和亚气刀灼烧通畅;1例(1.9%)气管支架移位;2例(3.8%)出现气胸和纵隔气肿;1例(1.9%)支架断裂。结论气管球囊扩张及镍钛合金气管支架置入对气管、支气管内膜结核狭窄有良好的治疗效果,是解决气管、支气管内膜结核狭窄较安全有效的方法之一。

关 键 词:气管  支气管内膜结核  球囊扩张  支架

Balloon Dilatation And Nitinol Stent Implantation Treatment of Tracheobronchial Stenosis Due to Endobronchial Tuberculosis
AO Guo-kun,LI Qiang,WANG Zhong-yuan,WANG An-shen,LIANG Jian-jin,HUANG Qin,WANGWei. Balloon Dilatation And Nitinol Stent Implantation Treatment of Tracheobronchial Stenosis Due to Endobronchial Tuberculosis[J]. Contemporary Medicine, 2009, 3(5): 81-83
Authors:AO Guo-kun  LI Qiang  WANG Zhong-yuan  WANG An-shen  LIANG Jian-jin  HUANG Qin  WANGWei
Affiliation:(General Hospital of PLA, The second affiliated hospital, Image Center)
Abstract:Objective To investigate the efficacy and safety of balloon dilatation and nitinol stent implantation in the treatment for tracheobron-chial stenosis due to endobronchial tuberculosis.Methods 52 patients with tracheobronchial stenosis due to endobronchial tuberculosis underwent balloon dilation through bronchofibroscope.Nitinol stents were placed to the stenosis airway.Results All cases were successfully placed and resulted in sufficient dilation for airway stenosis segment.Dyspnea was rapidly improved.11(2...
Keywords:tracheobronchial  endobronchial tuberculosis  balloon dilatation  stent  
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