支气管镜氩等离子体凝固对管腔内肺癌患者呼吸功能的影响

Impact of Argon Plasma Coagulation Via Bronchoscope on Respiratory Function in Patients with Bronchial Luminal Lung Cancer

目的探讨支气管镜氩等离子体凝固(argon plasma coagulation,APC)对管腔内肺癌患者呼吸功能的影响和治疗安全性。方法对35例经支气管镜检查病理确诊的管腔内肺癌患者行APC治疗,对治疗前后呼吸功能(肺功能、动脉血氧分压)、体力状况评分、气道阻塞再通进行分析。结果经支气管镜APC治疗后,呼吸功能和体力状况评分有显著改善,气道再通有效率高(总有效率94.29%),治疗过程中没有发生严重并发症。结论支气管镜APC治疗能改善管腔内肺癌患者呼吸功能和生活质量,是治疗管腔内肺癌安全有效的方法。

Objective To evaluate the safety of argon plasma coagulation（APC）via bronchoscope and its impact on respiratory function in patients with bronchial luminal lung cancer.Methods A total of 35 patients with bronchial luminal lung cancer who were pathologically diagnosed via bronchoscope were treated with APC via bronchoscope.Respiratory function（pulmonary function,arterial partial pressure of oxyge）,KPS scores and degrees of obstruction were evaluated before and after the treatment.Results After APC treatment,respiratory function and KPS scores improved significantly.Airway obstruction was relieved effectively（total effectiveness 94.29%）.No severe complications were observed during the treatment.Conclusion APC via bronchoscope is an effective and safe method to treat bronchial luminal lung cancer.It can improve respiratory function and the quality of life.