全身麻醉下Y型金属气管支架治疗恶性气道狭窄

Treatment of malignant central airway obstruction with Y-type metallic stent placement under general anaesthesia

目的报道国产Y型金属气管支架在全身麻醉状态下置入的个案经验。方法 3例中央型肺癌累及气管隆突导致恶性气道狭窄的男性患者,均在全身麻醉气管插管下,进行Y型金属气管支架的置入术,着重介绍Y型气管支架释放技术以及与气管插管的配合方法。结果 3例患者均成功在全麻下进行了Y型气管支架的置入,手术过程顺利,术后患者呼吸困难症状明显改善。结论全麻下进行Y型气管支架的释放,减少了术中患者的痛苦,增加了操作的安全性,其远期疗效和相关并发症需要更多的病例观察。

Objective To report the clinical experience in treating malignant central airway obstruction with the placement of a domestic Y-shaped stent under general anaesthesia.Methods The placement of a domestic Y-stent under general anaesthesia together with tracheal intubation was performed in three male patients of central lung cancer with the involvement of carina and subsequent malignant airway stenosis.The combination of Y-stent delivering and tracheal intubation had not been reported in the literature so far,so the technical experience was introduced in this paper.Results The placement of Y-stent was successfully completed in all 3 patients.The whole procedure was smoothly carried out with no severe complications.After the operation the dyspnea was markedly relieved in all the patients.Conclusion As a safe and effective treatment for malignant central airway obstructions,the placement of a domestic Y-stent under general anaesthesia can reduce patient＇s discomfort during the stent delivering process.A large cohort of patients is required in order to evaluate the long-term efficacy and related complications of this technique.