摘要
目的:探讨经支气管镜冷冻取异物及治疗异物相关性气道狭窄的疗效。方法:于2010年1月至2015年1月在我科就诊的支气管异物患者32例,所有患者在冷冻取异物前曾使用活检钳等常规方法钳取失败,分析冷冻取异物的效果,对合并气道狭窄的患者,使用冷冻的方法冻融肉芽组织,评估其疗效。结果:30例支气管异物使用冷冻方法顺利取出,成功率94%。16例患者出现气道狭窄,出现气道狭窄患者病程较未出现明显狭窄者要长[(116±12)d vs.(24±5)d,(P<0.05)],冷冻治疗气道狭窄过程中,人均冷冻治疗(2.3±1.3)次,其中显效9例,有效6例,无效1例,总有效率94%。结论:经可弯曲支气管镜冷冻取异物成功率高,冷冻治疗异物导致的气道狭窄疗效好,并且安全性好。
Objective To explore the effect of bronchoscopic cryosurgery on removing foreign bodies and treating relative airway stenosis. Methods From January 2010 to January 2015 ,total 32 patients with bronchial foreign bodies visiting our department, who failed to be removed by conventional method of biopsy forceps, underwent bronchoscopic cryosurgery. The effects of cryosurgery on removing foreign bodies and freeze-thawing granulation tissue of narrow airway were analyzed. Results Thirty patients of all with bronchial foreign bodies were successfully removed by the method of cryosurgery, with the success rate of 94%. The average disease course of 16 cases with airway stenosis was significantly longer than those without airway stenosis ( 116 ± 12) d vs. [ 24 ± 5 ) d, ( P 〈 0.05 ). The average frequency of cryotherapy was (2.3 ± 1.3 ) times, and with excellence in 9 cases, effective in 6 cases, invalid in one case, the total effective rate was 94%. Conclusion By the flexible bronchoscopic cryosurgery, the successful rate in removing bronchial foreign bodies was high, and the curative effect and safety of cryosurgery for treating airway stenosis was good.
出处
《湖北医药学院学报》
CAS
2015年第5期479-482,F0003,共5页
Journal of Hubei University of Medicine
关键词
支气管镜
冷冻
异物
气道狭窄
Bronchoscopic
Cryosurgery
Foreign body
Airway stenosis