中国实用儿科杂志2013，Vol.28Issue(7)：516-521,6.
支气管镜下球囊扩张成形术治疗儿童中心气道狭窄临床研究
Management of central airway stenosis by means of the flexible bronchoscopic balloon dilatation tracheoplasty in children
张磊 1殷勇 1张静 1王薇 1朱铭2
作者信息
- 1. 上海交通大学医学院附属上海儿童医学中心呼吸内科,上海200127
- 2. 上海交通大学医学院附属上海儿童医学中心影像中心,上海200127
- 折叠
摘要
Abstract
Objective To assess the efficiency and safety of the flexible bronchoscopic balloon dilatation tracheoplasty in children,and discuss the optimal indication and combined therapy of central airway stenosis in children.Methods From July 2009 to April 2012,34 cases were diagnosed as central airway stenosis by chest CT scan and bronchoscpy in Shanghai Children's Medical Center,and received the treatment of the flexible bronchoscopic balloon dilatation tracheoplasty.The data about the efficiency,complication and prognosis of the treatment were collected.Results In the 34 cases,16 cases were improved after the treatment and the overall response rate was 47.1％.According to the pathology of the stenosis,these cases were divided into three types:9 cases were membranous stenosis,5 cases were muscular stenosis and 20 cases were osseous stenosis.The response rate was 47.1％,100％,and 20％ respectively.According to the anatomy morphology of the stenosis,20 cases were short distance stenosis and the response rate was 75％; 12 cases were long distance stenosis and the response rate was 8.3％ ; 2 cases were funnel stenosis and the response rate was 0.Among these cases,3 cases accepted the operation of pulmonary artery sling and tracheal sliding angioplasty,the total response rate being raised to 55.9％.The most common complication in the flexible bronchoscopic balloon dilatation tracheoplasty was transient oxygen desaturation.Conclusion The severity,length,pathology,indication and time of the treatment should be considered completely before the flexible bronchoscopic balloon dilatation tracheoplasty.The balloon dilatation therapy is suitable for membranous with short distance stenosis.The combined interventional treatment is good for muscular stenosis,and the surgery and palliative treatment is an option for osseous with long distance stenosis.关键词
支气管镜/球囊扩张成形术/中心气道狭窄/儿童Key words
brochoscopy/ balloon dilatation tracheoplasty/ central airway stenosis / children分类
医药卫生引用本文复制引用
张磊,殷勇,张静,王薇,朱铭..支气管镜下球囊扩张成形术治疗儿童中心气道狭窄临床研究[J].中国实用儿科杂志,2013,28(7):516-521,6.
