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Laser Application in Tracheo Bronchial Tumour

机译:激光在气管支气管肿瘤中的应用

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摘要

Obstruction of the tracheobronchial tree with benign or malignant tumuors can cause severe respiratory embarrassment necessitating urgent therapy. Earlier this invariably involved major surgical intervention even for benign lesions, with attendant high mortality and morbidity. In 1974, Strong et all reported the use of the carbon dioxide laser for endoscopic treatment of patients with tracheobronchial lesions. Since then, several types of lasers have been tried with Toty et al2 pioneering the use of the Neodymium: Yttrium Aluminum Garnet (Nd: Yag)laser for this purpose. We have been using the Nd - YAG laser photocoagulation therapy for obstructing tracheobronchial tumors since 1986. We are a regional referral center for laser treatment and hence we see a fair number of such lesions. Patients are referred by ENT surgeons who after evaluation feel surgery is not feasible. The aim of laser treatment is to improve the quality of life of such patients with minimal morbidity and a realtively short hospital stay.
机译:气管支气管树良性或恶性肿瘤阻塞可导致严重的呼吸窘迫,需要紧急治疗。早些时候,即使对于良性病变,这总是涉及重大外科手术,伴随着高死亡率和高发病率。 1974年,Strong等人都报道了使用二氧化碳激光内镜治疗气管支气管病变患者。从那以后,Toty等人尝试了几种类型的激光器,率先将钕:钇铝石榴石(Nd:Yag)激光用于此目的。自1986年以来,我们一直在使用Nd-YAG激光光凝治疗来阻塞气管支气管肿瘤。我们是激光治疗的区域转诊中心,因此,我们看到了很多此类病变。耳鼻喉科外科医生转诊患者,经评估后认为手术不可行。激光治疗的目的是改善此类患者的生活质量,使其发病率降至最低,并且住院时间很短。

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