经气管镜介入治疗气管腺样囊性癌

目的 评价经气管镜介人治疗气管腺样囊性癌的临床效果、并发症.方法 回顾分析北京天坛医院呼吸内科自2004年至2010年收治的气管腺样囊性癌患者共12例,比较支气管镜介入治疗前后的气管直径、气促评分,并观察治疗后的并发症.结果 所有患者经治疗后症状均迅速改善,气管直径由术前的(2.61±0.78)mm扩大至(12.92±...

Interventional therapy by bronchoscope on trachea adenoid cystic carcinoma

Objective To evaluate the effects and complications of interventional therapy by bronchoscopy on trachea adenoid cystic carcinoma. Methods The trachea diameter and dyspnea index of twelve patients with trachea adenoid cystic carcinoma were detected before and after treatment. The complications of therapy were observed. Results The symptoms of all patients were rapidly improved after treatment. The trachea diameter increased from (2.61±0.78) mm to (12.92±2.87) mm (P＜0. 001), and the dyspnea index decreased from 3. 92±0. 28 to 1.08±0.90 ( P ＜0. 001). In operation,the main complication was haemorrhage. After operation, the complications were haemoptysis, chest pain, pharynx pain, and cough. The long-term adverse reaction was trachea restenosis caused by tumor and granulation tissue. The tectorial membrane stent did not reduce the incidence of restenosis caused by proliferation of granulation tissue, and easily led to poor expectoration, stent migration, and other complications. Conclusions For trachea adenoid cystic carcinoma without surgery indications,interventional therapy by bronchoscopy is effective to improve airway stenosis. In China, if the trachea stent is needed, the naked metal stent is appropriate.