治疗性介入呼吸病技术的新领域——气管T管的临床应用

A new field of therapeutic interventional pulmonology——clinical application of tracheal T tube

随着硬质支气管镜及介入呼吸病技术在我国的蓬勃发展,从事介入呼吸病专业的呼吸科医生已具备了通过硬镜下开展气管T管置入术治疗气管上段狭窄的条件。与传统的外科法气管T管置入术相比,硬镜下气管T管置入术具有一定的微创优势,但鉴于喉及声门下气管区域狭窄的复杂性,一种技术仍然无法解决所有的临床问题,了解两种技术的区别、选择恰当的治疗方案及严格掌握T管置入适应证,才能最终减少手术并发症,为病患提供最佳疗效。

With the rapid development of rigid bronchoscopy and interventional pulmonology in China, Chinese pulmo- nologists who are engaged in the practice of interventional pulmonology now have the conditions of tracheal T tube placement by rigid bronchoscope technique for the treatment of proximal tracheal stenosis. The tracheal T tube place- ment by rigid bronchoscope technique has a certain minimally invasive advantage compared to that by traditional surgery technique. However, all the clinical problems usually can not be solved by a single technique due to the complex situa- tions of laryngotracheal stenosis. Better clinical results and low complications for laryngotracheal stenosis are related to the understanding of the difference between two techniques, developing multidisciplinary treatment approaches and strictly controlling of the indications of tracheal T tube placement.