氩气刀联合二氧化碳冷冻在肺部罕见良性肿瘤治疗中的价值

发布时间：2018-11-26 19:44

【摘要】：目的探讨经支气管镜氩气刀(APC)联合冷冻介入治疗气道罕见良性肿瘤的价值。方法回顾性分析2014年5月-2015年12月4例该科经支气管镜下APC联合冷冻治疗的气道罕少良性肿瘤临床特征及文献复习。结果男3例,女1例,发病年龄23~80岁,平均56岁。4例患者分别诊断为:左主支气管平滑肌瘤、气管多形性腺瘤、气管嗜酸性细胞腺瘤、右肺上叶开口脂肪瘤。麻醉方式以局麻为主,气管多形性腺瘤首次治疗在全麻喉罩通气下完成。介入方式:APC热消融、止血,二氧化碳CO2冷冻冻取瘤组织及术后冻融治疗,术后1周清除冻融后坏死组织。治疗时间平均20 min。4例患者共进行10次介入治疗,术中未出现大出血、气道着火及穿孔。4例患者随访至今局部无复发。结论 APC联合冷冻治疗气道罕少良性肿瘤安全有效,值得推广。
[Abstract]:Objective to evaluate the value of transbronchial argon knife (APC) combined with cryotherapy in the treatment of rare benign airway tumors. Methods from May 2014 to December 2015, the clinical features and literature review of 4 cases of airway rare benign tumors treated with APC combined with cryotherapy under bronchoscope were retrospectively analyzed. Results there were 3 males and 1 female with an average age of 56. 4 patients were diagnosed as left main bronchial leiomyoma, tracheal pleomorphic adenoma, eosinophil adenoma of trachea, lipoma of right superior lobe orifice. The first treatment of tracheal pleomorphic adenoma was performed under general anesthesia and laryngeal mask ventilation. Interventional methods: APC thermal ablation, hemostasis, carbon dioxide CO2 cryopreservation of tumor tissue and postoperative freeze-thaw treatment, 1 week after the removal of frozen and thawed necrotic tissue. The average time of treatment was 20 min.4. Ten times of interventional therapy were performed in the patients. There was no massive hemorrhage, airway fire and perforation in 4 cases. There was no local recurrence in 4 cases. Conclusion APC combined with cryotherapy is safe and effective in the treatment of rare and rare airway benign tumors, and it is worth popularizing.
【作者单位】：成都中医药大学附属医院呼吸科;
【分类号】：R734.2

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