硬质支气管镜联合纤维支气管镜在气管支气管病变中的应用

目的探讨硬质支气管镜联合纤维支气管镜在成人气管支气管病变诊治中的作用和安全性。方法回顾分析2010年9月至2011年6月期间20例大气道疾病患者（8例良性病变，12例恶性病变）进行26次硬质支气管镜联合纤维支气管镜手术的临床资料。全部患者全身麻醉后置入成人通用硬镜，经硬镜腔内置入纤支镜进行全面的检查和评估，酌情选用消融、冷冻、切除、取出及支架放置等操作。结果全部患者均一次成功置入硬镜，无死亡病例和严重并发症发生，1例术中气道创面大量出血，在硬镜下控制出血后，为完整切除肿块而转开胸手术。术中主要并发症为低氧血症（3例，11．5％），均为一过性症状；术后主要并发症为咽喉疼痛（7例，26．9％），经...

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Published in复旦学报（医学版） Vol. 39; no. 5; pp. 511 - 514
Main Author 张毅 范虹 张新 袁云峰 郭卫月 钱成 王群
Format Journal Article
LanguageChinese
Published 复旦大学附属中山医院胸外科,上海,200032%复旦大学附属中山医院呼吸内科,上海,200032 2012
Subjects
支气管镜
气管异物
气管肿瘤
气道阻塞
气管异物
气管肿瘤
气道阻塞
支气管镜
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ISSN1672-8467
DOI10.3969/j.issn.1672-8467.2012.05.014

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Summary:目的探讨硬质支气管镜联合纤维支气管镜在成人气管支气管病变诊治中的作用和安全性。方法回顾分析2010年9月至2011年6月期间20例大气道疾病患者（8例良性病变，12例恶性病变）进行26次硬质支气管镜联合纤维支气管镜手术的临床资料。全部患者全身麻醉后置入成人通用硬镜，经硬镜腔内置入纤支镜进行全面的检查和评估，酌情选用消融、冷冻、切除、取出及支架放置等操作。结果全部患者均一次成功置入硬镜，无死亡病例和严重并发症发生，1例术中气道创面大量出血，在硬镜下控制出血后，为完整切除肿块而转开胸手术。术中主要并发症为低氧血症（3例，11．5％），均为一过性症状；术后主要并发症为咽喉疼痛（7例，26．9％），经对症治疗后均恢复。结论硬质气管镜联合纤维支气管镜诊治成人大气道疾病安全、有效。
Bibliography:ZHANG Yi , FAN Hong , ZHANG Kin , YUAN Yun-feng , GUO Wei-gang, QIAN Cheng, WANG Qun （1 Department of Thoracic Surgery, 2 Department of Pulmonary Medicine, Zhongshan Hospital, Fudan University, Shanghai 200032, China）
Objective To evaluate the feasibility and safety of the application of rigid bronchoscopy combined with flexible bronchoscopy in the treatment of tracheobronchial diseases. Methods We analyzed the clinical data of a cohort of 20 patients with tracheobronchial diseases retrospectively. In this series of cases,8 patients with benign lesions and 12 patients with malignant lesions totally received 26 procedures in the application of rigid bronchoscopy combined with flexible bronchoscopy. The operations were performed under general transvenous anesthesia. After the rigid bronchoscopy was placed in the main trachea through the mouth, the airway was checked out by flexible bronchoscopy and then the lesions were treated by appropriate means such as argon plasma coagulation, repeated freezing, cauterizati
ISSN:1672-8467
DOI:10.3969/j.issn.1672-8467.2012.05.014