介入性激光技术在治疗肺癌呼吸道阻塞中的应用

Application of interventional laser coagulation technology in the treatment of airway obstruction of lung cancer

目的 :探讨介入性激光凝固术在治疗肺癌呼吸道阻塞中的疗效。方法 :对 31例肺癌呼吸道阻塞患者经支气管镜采用 Nd:YAG激光凝固术进行腔内治疗。结果 :在近期疗效上 ,鳞癌明显优于非鳞癌者 ;肿瘤表面乏血管者优于富血管阻塞者 ;主支气管阻塞优于叶和段支气管阻塞者 ;TNM分期与疗效无关。结论 :介入性激光凝固术是治疗肺癌呼吸道阻塞的有效方法之一。肿瘤的病理类型、表面血管分布和肿瘤阻塞部位是影响近期疗效的因素。

Objective:To evaluate the efficacy of interventional laser coagulation technology in the treatment of airway obstruction of lung cancer.Methods: Thirty-one patients with airway obstruction of lung cancer were treated by Nd:YAG laser coagulation technology through bronchoscope. Results: The efficacy on squamous cell carcinoma in the near future was much better than that on non-squamous cell carcinoma, on hypovascular lung cancer was superior to that on hypervascular one, and on carcinoma in larger airways was better than that on one in smaller airways. The efficacy in the near future was not associated with the TNM stages of carcinoma. Conclusion: The therapy for airway obstruction of lung cancer by interventional laser coagulation technology is effective. The pathologic types, surface vascularity, and obstructed locations may influence the near efficacy.