技术改良在局麻下倒Y型金属气道支架置入治疗恶性隆突狭窄10例

发布时间：2018-03-06 13:04

本文选题：一次性加硬导丝引入　切入点：倒Y型金属气道支架　出处：《介入放射学杂志》2017年12期 　论文类型：期刊论文

【摘要】：目的评价X线引导局麻下倒Y型金属气管支架置入过程中改良交换导丝引入方法缩短手术操作时间的技术可行性。方法回顾性分析局麻下置入倒Y型金属气道支架16例。其中6例采用常规分次加硬导丝引入,10例患者采用改良方法 ,一次性2根加硬导丝引入,技术成功率及手术操作时间作为主要观察指标。结果局麻下16例倒Y型金属气道支架均成功置入,常规方法组手术操作时间平均为15.6 min,改良组手术操作时间平均为11.1 min,两组方法比较差异有统计学意义(P0.05)。结论改良一次性加硬导丝置入在局麻下倒Y型金属气道支架置入治疗恶性隆突狭窄能有效缩短手术操作时间。
[Abstract]:Objective to evaluate the technical feasibility of using modified exchange guide wire to shorten the operation time during the procedure of inserting inverted Y type metal tracheal stent under local anesthesia. Methods retrospective analysis was made on the placement of inverted Y type metal airway branch under local anesthesia. Among the 16 cases, 6 cases were treated with routine grading plus hard wire introduction and 10 cases were treated with modified method. Results 16 cases of inverted Y metal airway stents were successfully implanted under local anesthesia. The average operating time of conventional group was 15.6 min, and that of modified group was 11.1 min. The difference between the two groups was statistically significant (P 0.05). Conclusion the modified one-off and hard guide wire are inserted into the airway branch of inverted Y type metal under local anesthesia. Stent placement for malignant Carina stenosis can effectively shorten the operative time.
【作者单位】：江苏省肿瘤医院介入科;
【分类号】：R730.5

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