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作者报告了20例晚期肺癌造成支气管完全阻塞的光动力激光治疗经验。为预计治疗效果,对CT和支气管镜检在评价支气腔内、外阻塞的作用进行了比较。20例均罹主或叶支气管完全性阻塞,诊断由支气管镜活检和手术证实。男17例,女3例,36～79岁,平均61岁。18例仅以激光治疗,2例激光治疗后作了肺叶或肺切除。9例曾行放疗。治疗前作胸片、CT和支气管镜检,治疗后从支气管镜、肺不张、肺实质以及肺功能等方面评价疗效。治疗后支气管镜检阻塞缓解≥50%,胸片上肺不张、实变有改善者说明有疗效。9例CT和支气管镜检证
The authors report photodynamic laser treatment experience of 20 cases of advanced lung cancer causing complete bronchial obstruction. To estimate the therapeutic effect, CT and bronchoscopy were used to evaluate the effects of internal and external obstructions in the bronchial airway. Twenty patients had complete occlusion of the main or leaf bronchi. The diagnosis was confirmed by bronchoscopic biopsy and surgery. There were 17 males and 3 females, aged 36-79 years, with an average age of 61 years. 18 cases were treated with laser alone, and 2 cases were treated with laser or lung resection. Nine cases had radiotherapy. Before treatment, chest X-ray, CT, and bronchoscopy were performed. The curative effect was evaluated after bronchoscopy, atelectasis, lung parenchyma, and lung function. After treatment, bronchoscopic obstruction remission ≥ 50%, chest X-ray atelectasis, consolidation has improved to show efficacy. 9 cases of CT and bronchoscopy examination