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目的:观察电子支气管镜介导下高频电刀治疗良性气道肿瘤的临床疗效及其安全性,为临床治疗此类患者提供可靠的理论证据。方法:对34例支气管恶性肿瘤所致的气道阻塞患者,进行支气管镜下高频电刀烧灼切割术,对治疗结果进行统计,观察气道打通程度、肺通气功能、气促指数及并发症的发生率。结果:34例恶性肿瘤,其中16例鳞状细胞癌,8例小细胞癌,6例腺细胞癌,4例大细胞癌。电灼后完全打通气道,彻底治愈。电灼过程中均未出现大出血、呼吸道穿孔、纵隔气肿等严重并发症。结论:支气管镜下高频电刀治疗恶性肿瘤引起的气道阻塞疗效显著,避免了开胸手术。
OBJECTIVE: To observe the clinical efficacy and safety of high-frequency electrosurgical stents guided by electronic bronchoscope in the treatment of benign airway tumors and provide reliable theoretical evidence for clinical treatment of such patients. Methods: Thirty-four patients with airway obstruction due to bronchial malignancy were treated with high-frequency electrosurgical bronchoscope and cauterization. The results of treatment were statistically analyzed. The degree of airway opening, pulmonary function, index of breath and complication The incidence of. RESULTS: Thirty-four malignant tumors, including 16 squamous cell carcinomas, 8 small cell carcinomas, 6 adenocarcinoma and 4 large cell carcinomas, were identified. After electrocautery fully open the airway, completely cured. Electrocautery did not appear during the bleeding, respiratory perforation, mediastinal emphysema and other serious complications. Conclusion: Bronchoscopic high-frequency knife treatment of malignant tumors caused by significant airway obstruction, to avoid the thoracotomy.