经纤支镜微波治疗在气道内疾病中的应用

ENDOBRONCHIAL MICROWAVE COAGULATION THERAPY FOR AIRWAY DISEASES

目的 :研究经纤维支气管镜微波热凝治疗在气道内疾病中的作用。方法 :气道内疾病 6 5 7例 ,其中恶性肿瘤 5 39例、支气管扩张症 75例、支气管结核 2 6例、良性肿瘤 16例、支气管肉芽肿 1例。经纤支镜行微波治疗。结果 :恶性肿瘤患者中呈显效者 36 0例 (6 6 .8% ) ,有效 131例 (2 4.3% ) ,无效 48例 (8.9% ) ;并发肺不张196例中 86例 (43.9% )完全复张 ,85例 (43.4% )部分复张 ;并发阻塞性肺炎 2 88例中 16 0例 (5 5 .6 % )完全消失 ,12 0例 (41.7% )部分消失。良性肿瘤 16例和支气管肉芽肿 1例 ,均成功去除腔内病灶。 2 6例支气管结核患者 ,经微波治疗狭窄管腔增大 ,其中 18例以后顺利放置气道内镍钛记忆合金支架。有不同程度咯血的 494例 ,经微波热凝止血 ,418例 (84.6 % )取得成功。结论

Objective:To review the effect of endobronchial microwave coagulation therapy for airway diseases.Methods:657 cases of bronchial disease caused by different causative agents had been rescued and treated in our department from 1989, including 539 cases of malignancy tumor,75 cases of bronchiectasis,26 cases of endobronchial tuberculosis,16 cases of benign tumor and 1 case of granuloma.All of these cases were treated by microwave coagulation under bronchoscope.Results:After treatment,complete response (CR) was achieved in 368/539 (66.8%) of malignancy tumors and part response (PR) was 131/539 (24.3%),none response was 48/539(8.9%).86/196 (43.9%) of atelectasis,160/288 (55.6%) of obstructive pneumonia and 418/496 (84.6%) of hemoptysis were cured.All the focus in bronchial of benign tumor and granuloma were cleaned.Conclusions:The microwave therapy with bronchoscope is valuable for some bronchial diseases and making a favorable condition for further therapy.