Clinic Analysis for Nickel-titanium Alloy Stent Treated Airway Obstruction of21 Cases under Direct Observation by Electronic Bronchoscope_West China Medical Journal

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电子气管镜; 支架; 气道狭窄

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目的：评价电子气管镜直视下置入镍钛合金支架治疗气道狭窄的疗效及安全性。方法：对我院3年来由各种原因引起的气管或支气管狭窄的21例患者行电子气管镜直视下经鼻置入国产镍钛合金支架术，观察置入支架前后症状、狭窄段气道直径变化、动脉血气变化情况及其并发症。结果：21例患者术后呼吸困难均明显改善，气道内径扩张及动脉血氧分压改善较术前均有统计学意义，未发生严重并发症。结论：电子气管镜直视下置入气道支架准确、迅速、安全，操作较方便，有助于延长患者的生存时间和提高生活质量，为进一步治疗创造条件。

Citation： CHEN Feng,LI Weiming,YING Jun,et al.. Clinic Analysis for Nickel-titanium Alloy Stent Treated Airway Obstruction of21 Cases under Direct Observation by Electronic Bronchoscope. West China Medical Journal, 2008, 23(1): 134-135. doi: Copy

1.	[１]Wright KC,Wallace S,Charnsangavej C,et al.Percutaneous endovascuar stent:an experimental evaluation[J].Radiology,1985,156(1):69-92..
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6.	Montgomery WW.T-tube tracheal stent[J].Arch Otolaryngol,1965,82:320-321..
7.	万毅新,王晓平.经纤维支气管镜置入支架治疗气管恶性狭窄6例[J].中国内镜杂志,2003,9(8):52-53..
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9.	Song HY,Shim TS,Kang SG,et al.Tracheobronchial strictures:treatment with a polyurethane-covered retrievable expandable nitinol stent-initial experience[J].Radiology，1999，213（3）：905－912..
10.	Kumar P,Roy A,Penny DJ,et al.Airway obstruction and ventilator dependency in young children with congenital cardiac defects:a role for self-expanding metal stents[J].Intensive Care Med,2002,28(2):190－195..
11.	Casiano RR,Numa WA,Nurko YJ.Efficacy of transoral intraluminalwallstents for tracheal stenosis or tracheomalacia[J].Laryngoscope,2000,110(10 Pt 1):1607－1612..
12.	陈正贤,高兴林,赵国栋,等.气道内支架治疗器质性气道阻塞18例疗效观察[J].中国实用内科杂志,1999,19(4):301－302..
13.	沈策,罗文桐.气管支气管支架临床应用现状[J].中华结核和呼吸杂志,2002,25:427.

1. [１]Wright KC,Wallace S,Charnsangavej C,et al.Percutaneous endovascuar stent:an experimental evaluation[J].Radiology,1985,156(1):69-92..
2. Varela A,Marnar M,Irving D,et al.Use of Gianturco self-expandable stents in the tracheobronchial tree[J].Ann ThoracSurg,1990,49:806-809..
3. 葛荣,吴雄,严济鸣,等.气管支架的临床应用[J].中华放射学杂志,1999,33(2):117-119..
4. Stulbarg MS,Adams L.Textbook of respiratory medicine[M].Philadelphia:Saundersm,1994：511-512..
5. 刘巍李,李龙芸,张福泉,等.金属支架治疗恶性肿瘤引起的气管狭窄[J].中华放射学杂志,2000,34:680-683..
6. Montgomery WW.T-tube tracheal stent[J].Arch Otolaryngol,1965,82:320-321..
7. 万毅新,王晓平.经纤维支气管镜置入支架治疗气管恶性狭窄6例[J].中国内镜杂志,2003,9(8):52-53..
8. 杨仁志,李二生,丁永年,等.气管恶性狭窄的内支架介入治疗[J].中华放射学杂志,1999,33:621-624..
9. Song HY,Shim TS,Kang SG,et al.Tracheobronchial strictures:treatment with a polyurethane-covered retrievable expandable nitinol stent-initial experience[J].Radiology，1999，213（3）：905－912..
10. Kumar P,Roy A,Penny DJ,et al.Airway obstruction and ventilator dependency in young children with congenital cardiac defects:a role for self-expanding metal stents[J].Intensive Care Med,2002,28(2):190－195..
11. Casiano RR,Numa WA,Nurko YJ.Efficacy of transoral intraluminalwallstents for tracheal stenosis or tracheomalacia[J].Laryngoscope,2000,110(10 Pt 1):1607－1612..
12. 陈正贤,高兴林,赵国栋,等.气道内支架治疗器质性气道阻塞18例疗效观察[J].中国实用内科杂志,1999,19(4):301－302..
13. 沈策,罗文桐.气管支气管支架临床应用现状[J].中华结核和呼吸杂志,2002,25:427.

West China Medical Journal

Clinic Analysis for Nickel-titanium Alloy Stent Treated Airway Obstruction of21 Cases under Direct Observation by Electronic Bronchoscope

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