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[Endoscopic treatment of central airway stenosis: five years' experience]

Butterfly 添加于 2010-5-9 09:53 | 2068 次阅读 | 0 个评论

作者
Cosano Povedano A, Munoz Cabrera L, Cosano Povedano FJ, Rubio Sanchez J, Pascual Martinez N, Escribano Duenas A
摘要
OBJECTIVE: To describe our experience with interventional bronchoscopy in the treatment of central airway stenosis. PATIENTS AND METHODS: We reviewed patient records and bronchoscopic findings. Clinical data, findings from computed tomography, techniques performed, complications, and results were recorded. RESULTS: One-hundred and thirty-six patients (90 males and 46 females) were treated. The mean (SD) age was 57 (7) years (range, 3-81). A total of 320 therapeutic interventions were performed: 145 laser treatments, 33 balloon or mechanical dilatations, 26 electrocauterizations, and 116 stent insertions. Pathogenesis varied: in 64 (47%) patients, the stenosis was caused by a tumor (48 were bronchopulmonary and 16 nonpulmonary); in 72 (53%) patients, stenosis was secondary to a nontumor-related process, of which the most common was prolonged intubation (42% of these cases). Central airway patency was achieved in 92% (59/64) of the tumor-related stenoses and 96% (69/72) of those unrelated to tumors. Improvement in dyspnea was observed in 96% of all patients. Two deaths (due to hemoptysis and to acute myocardial infarction) occurred in the first week, for a 1.4% mortality rate. The most common complications were stent migration (8%; 9/116 cases) and the formation of granulomas (9%; 11/116). CONCLUSIONS: Interventional bronchoscopy is an effective technique to resolve life-threatening obstructions of the central airways. Dyspnea improves immediately and there is no significant morbidity or mortality.
详细资料
- 关键词: Adolescent; Adult; Aged; Aged, 80 and over; Airway Obstruction/diagnosis/drug therapy/*surgery/therapy; Balloon Dilatation/methods/statistics & numerical data; Bronchial Diseases/etiology; Bronchial Neoplasms/complications/surgery; Bronchoscopes; *Bronchoscopy/statistics & numerical data; Child; Child, Preschool; Dyspnea/etiology/surgery; Electrocoagulation/methods/statistics & numerical data; Female; Foreign-Body Migration/etiology; Granuloma/etiology; Hemoptysis/mortality; Humans;
- 文献种类:期刊
- 期刊名称: Archivos de Bronconeumologia
- 期刊缩写: Arch Bronconeumol
- 期卷页: 2005年第41卷第6期 322-327页
- 地址: Servicio de Neumologia, Hospital Universitario Reina Sofia, Cordoba, Spain. andr539@separ.es
- ISBN: 0300-2896
- 备注:PMID:15989889
标签

stent
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