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本文报道应用纤维支气管镜Nd—YAG激光治疗肺癌咯血6例,其中鳞癌2例,腺癌1例,未分化小细胞癌3例,TNM分期均为Ⅳ_b,左侧4例,右侧2例。全部病例均经一次照射止血,继续照射肿瘤缩小,气管阻塞解除,伍用化疗后CR2例,PR4例。结果提示:内镜Nd—YAG激光治疗肺癌咯血具有良好的止血作用,同时切除气道内瘤体,可减轻肿瘤负荷,缓解症状,提高了生活质量。
This article reported the use of fiberoptic bronchoscopy Nd-YAG laser treatment of 6 cases of lung cancer hemoptysis, including 2 cases of squamous cell carcinoma, 1 case of adenocarcinoma, 3 cases of undifferentiated small cell carcinoma, TNM staging IV_b, left 4 cases, right 2 cases . All cases were treated by one-time irradiation to stop bleeding, continue to irradiate the tumor and reduce tracheal obstruction. CR was used in 2 cases after chemotherapy and 4 cases were PR. The results suggest that endoscopic Nd-YAG laser treatment of hemoptysis of lung cancer has a good hemostatic effect, while the removal of airway tumors can reduce the tumor load, relieve symptoms and improve the quality of life.