全麻下单导丝引导Y型气道支架置入术治疗复杂气管疾病6例

发布时间：2018-04-02 19:22

本文选题：全身麻醉　切入点：气管疾病　出处：《介入放射学杂志》2015年06期

【摘要】：目的探讨在全身麻醉下采用单导丝引导Y型气道支架置入的方法和临床应用。方法接受气道Y型支架治疗复杂气管疾病患者6例,其中气管胸膜瘘1例,食管-气管瘘2例,气道复合型狭窄3例。全身麻醉后在DSA监视下对6例患者置入气道Y型支架。结果 6例患者共置入Y型气道支架6枚,均为单导丝引导置入,其中1例支架右侧分支误入右肺上叶支气管内,余5例支架置入均一次获得成功。结论全麻下Y型气道支架置入术能有效封堵支气管残端胸膜瘘、左主支气管食管瘘,能快速有效解除气管隆突区复合性气道狭窄,近期疗效显著,手术安全、可靠,单导丝引导置入技术操作相对于双导丝引导置入技术操作简单、快速有效、值得推广应用。
[Abstract]:Objective to explore the method and clinical application of Y-type airway stent implantation under general anesthesia.Methods six patients with complicated tracheal diseases were treated with airway Y-stent, including 1 case of trachea pleural fistula, 2 cases of esophagotracheal fistula and 3 cases of airway complex stenosis.After general anesthesia, airway Y-stent was placed in 6 patients under DSA surveillance.Results A total of 6 Y-shaped airway stents were implanted in 6 patients, all of them were guided by single wire. One case of the right branch of stent was misplaced into the upper lobe bronchus of right lung, and the other 5 cases were successfully implanted at one time.Conclusion the Y-type airway stent placement under general anesthesia can effectively block the bronchial stump pleural fistula and left main broncho-esophageal fistula, and relieve the complex airway stenosis in the trachea Carina area quickly and effectively. The short-term curative effect is remarkable, the operation is safe and reliable.The operation of single guide wire placement is simple, rapid and effective compared with that of double guide wire placement, so it is worth popularizing and applying.
【作者单位】：昆明医科大学第四附属医院放射科;昆明医科大学第四附属医院麻醉科;
【基金】：云南省科技厅昆明医科大学联合专项(2008CD036)
【分类号】：R614

【参考文献】