经纤维支气管镜置入支架治疗气管恶性狭窄6例

目的：介绍气管内支架留置的新技术，评价经纤维支气管镜引导下放置支架治疗气管恶性狭窄的价值。方法：6例气管恶性狭窄的患者，临床上均表现为重度呼吸困难，2例合并食管-气管痿者伴有呛咳。所用器械包括：Olyrnpus P30型纤支镜，镍钛记忆合金自扩张式支架和支架置入器。在X线监视下，采用经纤支镜引导气道内支架留置术。结果：全部病例支架留置术均获得成功，患者的呼吸困难、呛咳等症状在支架置入后即刻缓解。术后l周复查纤支镜，支架位置无变化，管腔通畅，l例术后15d因消化道出血死亡。结论：经纤支镜引导气管恶性狭窄的内支架置入术安全、有效，能明显提高患者的生存质量。     

纤维支气管镜直视下放置镍钛记忆合金支架治疗气管狭窄

目的：观察纤维支气管镜（纤支镜）直视下放置镍钛记忆合金支架治疗气管狭窄的可行性和疗效。方法：选取１２例气这肿瘤引起的气管狭窄患者,在张地支镜直视下放置镍钛合金支架、１２例中有３例先用自制的气囊扩张器将狭窄段扩张,４例使用微波治疗使管腔较为通畅后放置支架,５例直接放置。结果：１２例患者在支架放置后呼吸困难均立即缓解。支架放置后第３、７天复查纤支镜见支架无移位,管腔通畅。有１例术后１５ｄ因消化道出血死     

经纤支镜置放气管支架治疗气管狭窄的护理

1998年 8月至 2 0 0 3年 6月我院在纤支镜直视下置放国产镍钛记忆合金支架治疗气管狭窄 14例 ,疗效满意 ,现将护理体会报告如下。1　资料与方法1 1　临床资料　本组 14例中男 12例 ,女 2例 ,31～ 6 6岁 ,气管狭窄均因管壁病变或管外病变。其中支气管肺癌 8例 ,食道癌转移、纵隔     

镍-钛金属支架置入术治疗气管狭窄

目的：探讨镍－钛金属支架置入术治疗气管、支气管良恶性狭窄的近远期效果。方法：采用在X线引导下或在电子纤支镜直视下经纤支镜置入镍－钛金属支架治疗气管癌2例，左右主支气管癌2例，右主支气管癌1例，原发性气管、支气管淀粉样变1例和左肺结核并左主支气管狭窄1例。结果：术后患者呼吸困难明显减轻，随访一年余，患者存活良好，活动如常。结论：该方法无须气管切开，创伤小、痛苦少，为气道狭窄的治疗提供了一种新的可靠方法。     

纤维支气管镜引导经鼻放置镍钛记忆合金支架治疗气管狭窄

纤维支气管镜引导经鼻放置镍钛记忆合金支架治疗气管狭窄刘忠令王昌惠白冲周奇兴韩一平李丽黄怡李强姚小鹏徐浩气管狭窄可引起严重呼吸困难，甚至导致窒息危及生命。１９９５年以来，我科利用自行研制的支架推送器，用纤维支气管镜（纤支镜）引导，经鼻放置镍钛记忆合金支...     

镍钛记忆合金支架治疗气道狭窄的疗效观察

目的:观察总结镍钛记忆合金支架治疗气道狭窄的疗效。方法:回顾我科2002年1月以来收治的20例由于各种原因引起的气道狭窄患者,其中肺癌15例,巨大甲状腺癌压迫气管1例,食管癌压迫气管2例,颈脊索瘤致气管软化1例,气管切开后瘢痕性狭窄1例,观察在局麻下经过纤维支气管镜引导进行镍钛记忆合金支架置放后的疗效。结果:全部支架均成功置放,成功率达100%。治疗后患者呼吸困难症状明显改善。结论:镍钛记忆合金支架治疗气道狭窄是一种有效、安全的方法。     

记忆合金支架治疗气管狭窄12例分析

１２例气管支气管狭窄患者经纤维支气管镜（以下简称纤支镜）置入镍钛记忆合金支架,均一次成功。术中未出现并发症。术后患者通气功能显著改善,肺功能恢复正常。     

经纤支镜导向放置镍钛记忆合金支架治疗气管狭窄

气管狭窄可引起严重呼吸困难，甚而导致窒息及危及生命。自1995年以来，我科利用自行研制的支架推送器，用纤维支气管镜（以下简称纤支镜）导向，经鼻放置镍钛记忆合金支架（以下简称支架）治疗气管狭窄11例，均取得明显疗效，现报告如下：材料和方法11例患者中，男性9例，女性2例．年龄48～65岁。其中肺癌侵及气管6例，气管鳞癌1例，食道癌及甲状腺癌侵及气管各1例，气管切开二月外套管致气管内芽组织增生狭窄2例。气管狭窄处直径3～6mm，狭窄长度3～scm。均有呛咳、重度呼吸困难、不能平卧。主要器械为日本欧林巴斯BF一巳。型纤支镜（外…     

纤维支气管镜在气管、主支气管重度狭窄的抢救与治疗中的应用

目的：总结回顾纤支镜在气管、主支气管狭窄治疗中的应用。方法：对１９９０年来,我科先后采用的纤支镜导向加长硅胶导管气管插管术（８例）、纤支镜下微波热凝治疗（１８０例）、经纤支镜放置镍钛记忆合金支架（５３例）并配以经纤支镜气囊扩张术、活检钳钳夹术及经纤支镜置管后装气道「内放疗等抢救、治疗各种原因引起的气管或主支气管重度狭窄２４１例,进行总结。结果：治疗各种原因引起的气管或主支气管重度狭窄共２４１例,其     

气管内支架置入治疗恶性气管狭窄6例报道

目的观察纤维支气管镜引导下国产金属气管支气管支架置入的近期疗效。方法4例为肺癌患者,2例是食管癌术后,气管内转移。以上病例在纤维支气管镜引导下行国产ATJ镍钛记忆合金气管支气管支架置入。结果6例均1次放置成功,扩张良好,呼吸困难立即缓解。结论纤维支气管镜引导下行支架置入术治疗恶性气管狭窄近期疗效较好,可明显改善患者的呼吸困难症状。     

Gastric Ulcer

Because 10 to 20 per cent of gastric ulcers prove to be malignant at operation, it is important to decide clinically whether a gastric ulcer is definitely benign or has a strong potential of being malignant. The size of the ulcer, its location and the patients age are not sufficient criteria for such a differential diagnosis. Most patients with gastric ulcer should be hospitalized for a trial of medical treatment. If the ulcer fails to heal, if it recurs, or if there is occult blood in the stool, surgical treatment is indicated. About 50 per cent of patients with gastric ulcer will need operation.     

Gastric sarcoidosis

Sarcoidosis of the gastrointestinal tract is uncommon even though involvement of the liver, spleen, and adenopathy are becoming recognizable entities on computed tomography (CT). Involvement of the stomach, the most common site of sarcoidosis of the gastrointestinal tract, is usually associated with pulmonary disease. The radiologic appearances of gastric involvement are variable. Positive biopsies may be obtained in a radiologically normal stomach. Ulceration resembling peptic ulcer disease may occur, and mucosal enlargement may be minor, diffusely nodular, or significant enough to mimic Menetrier disease. In its most dramatic form, a linitis plastica appearance resembling scirrhous carcinoma has been reported. Received: 10 October 1995/Accepted after revision: 31 January 1996     

Gastric syphilis

A sexually transmitted disease is seldom considered in the differential diagnosis of patients with clinical gastritis. A patient with gastric syphilis is reported to alert emergency department physicians to this entity. History and physical findings of syphilis should be sought and rapid plasma reagin tests should be obtained in the patient with severe or refractory gastritis.     

Gastric infarction

We have described a patient with an acute condition of the abdomen who had infarction of the stomach and the small intestine due to atheromatous thrombus of celiac and superior mesenteric arteries. We believe this unusual simultaneous occurrence of gastric and small intestinal infarction is coincidental. The outcome of gastric infarction is frequently fatal.     

Gastric cancer

Gastric cancer is a very challenging malignancy given that it presents late, has complex pathogenetic mechanisms with multiple carcinogenic processes implicated, and is only moderately sensitive to chemotherapy and radiation. Accurate staging for gastric cancer is possible with the availability of sophisticated imaging studies, endoscopic ultrasound, and laparoscopy. Postoperative chemoradiation is the standard of care in high-risk patients with resected primary disease. Recent encouraging results with the preoperative approach need to be studied further and prospectively compared to postoperative chemoradiation. Chemotherapy has yielded better results than best supportive care for metastatic gastric cancer and also improves quality of life, although all of these studies included a small number of patients. The last decade has seen newer agents used alone or in combination, with promising results. We anticipate that improved trial design, availability of molecular techniques, and continued search for better cytotoxic and targeted agents will help develop better treatments for patients with advanced gastric cancer.