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Endobronchial occlusive disease: Nd:YAG or PDT?

机译:支气管内闭塞性疾病:Nd:YAG或PDT?

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Abstract: Patients with endobronchial occlusion commonly experience dyspnea, cough, hemoptysis, pneumonitis, and atelectasis. If luminal patency is not re-established, obstructive symptoms may progress to sepsis and death. Although the overall survival of patients with lung cancer may not be altered by relief of airway obstruction, the prognosis for this subset of patients may be improved by eliminating the septic complications of bronchial occlusion. Techniques to treat occluded bronchi include electro-fulguration, cryotherapy, brachytherapy, laser (CO$-2$/, Nd-YAG) therapy, and photodynamic therapy (PDT). These represent local forms of treatment and are intended to be palliative. Nd-YAG and PDT are the modalities more frequently utilized in this setting. Comparison of the two treatment forms may furnish insight regarding the appropriate role for each as individual therapies and as part of the armamentarium of cancer therapies.!
机译:摘要:支气管内阻塞患者通常会出现呼吸困难,咳嗽,咯血,肺炎和肺不张。如果未恢复管腔通畅,阻塞性症状可能会发展为败血症甚至死亡。尽管肺癌患者的总生存期可能不会因气道阻塞的缓解而改变,但通过消除支气管阻塞的脓毒症并发症,可以改善这一部分患者的预后。治疗阻塞性支气管的技术包括电灼,冷冻疗法,近距离放射治疗,激光(CO $ -2 $ /,Nd-YAG)治疗和光动力疗法(PDT)。这些代表治疗的局部形式,旨在姑息治疗。 Nd-YAG和PDT是在这种情况下更经常使用的模式。两种治疗形式的比较可以提供关于每种作为个体疗法以及作为癌症疗法武器库的一部分的适当作用的见解。

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