联合介入技术治疗良性气道狭窄临床分析

To clinic analyze the efficacy of combined interventional therapy for benign airway stenosing pulmonary disease

目的研究经支气管镜联合介入技术治疗良性气道狭窄中的价值。方法 13例良性气道狭窄单独介入治疗不能有效的患者接受联合介入治疗,根据狭窄情况选择电刀消融、高压球囊扩张及支架置入等方法。结果经联合介入治疗后,13例患者,共19支气道狭窄,经3月治疗随诊,气道再通完全有效6支(31.57%),部分有效9支(47.37%),轻度有效2支(10.53%),无效2支(10.53%)。气促由治疗前的(3.15±0.69)级改善为(1.08±0.86)级(P<0.001)。治疗过程中6例患者出现鼻出血,2例患者出现气胸。结论对于单独介入治疗不能有效的良性气道狭窄的患者给予联合介入治疗可以起到好的临床疗效,且安全性高,并发症少。

Aim To study the value of combined interventional therapy for benign airway stenosis.Methods 13 patients,who were diagnosed as benign airway stenosis,accepted combined interventional therapy including high frequente lectrocautery,high pressure balloon expansion and stent implantation.Results Of the 13 patients,8 were treated with high frequente lectrocautery combied by high pressure balloon expansion,3 were treated by high pressure balloon expansion combied by stent implantation,2 by high frequente lectrocautery,high pressure balloon expansion and stent implantation.Evaluation of the therapeutic effects was made 3 month after the interventional treatment.Of 19 stenosis airway,a complete relieve was observed in 6 cases（31.57 %）,partial relieve in 9 cases（47.37%）,mild response in 2 cases（10.53）,no response in 2 cases（10.53%）.The dyspnea scores were 3.15±0.69 before the treatment,and 1.07±0.86 after the treatment,with statistically significant difference（P〈0.001）.Conclusions Combined interventional therapy is useful for patients with benign airway stenosis.