倒Y型一体化气道内支架置入治疗气道复合狭窄

The treatment of airway complex stenoses with inverted Y-shaped self-expandable metal stent

目的探讨倒Y型一体化自膨胀式金属内支架置入治疗气道复合狭窄的疗效。方法32例气道复合狭窄患者,在X线透视、局麻下置入倒Y型一体化自膨胀式金属内支架治疗。结果所有患者使用倒Y型一体化自膨胀式金属内支架,置入均1次成功,患者缺氧症状即刻缓解,呼吸困难改善,术中、术后未出现窒息、大出血、气管破裂等并发症,一般状况明显改善,生活质量提高。结论使用倒Y型一体化自膨胀式金属内支架置入治疗气道复合狭窄疗效可靠。

Objective To investigate the feasibility of inverted Y-shaped self-expandable metal stent for managing airway complex stenoses. Methods Under the fluoroscopic guidance, 32 patients with airway complex stenoses involving the tracheal carina were treated with the inverted Y-shaped self-expandable metal stent. Results： Stent placement in the tracheo-bronchial tree was technically successful in all patients. After stent placement,the hypoxia symptom was relieved immediately with no occurrence of obviously dyspnea and bleeding. The general physical condition and living quality of all patients were improved. Conclusions Use of inverted Y-shaped self-expandable metal stent in the management of airway complex stenoses involving the tracheal carina was a simple and safe procedure and with a good short-term clinical efficacy.