Objective To summary the experience of transbronchial intervention in the treatment of severe airway stenosis. Methods In this study,a total of 91 consecutive patients with severe airway stenosis who underwent transbronchial interventional therapy between January 2015 and June 2017 at a tertiary hospital were retrospectively investigated. Results The amount of intraoperative bleeding was influenced by the degree of airway patency after interventional treatment with bronchoscope. Specifically,the volume of complicated bleeding in patients with a high degree of airway patency was significantly lower than that in patients with a low degree of airway patency(P0.05). Conclusion Bronchoscopic intervention is an effective method for the treatment of severe airway stenosis however,its therapeutic effect is affected by the degree of initial airway stenosis. The airway patency after interventional therapy and combination of cryotherapy can affect the amount of intraoperative bleeding.%目的 总结经支气管镜介入治疗严重气道腔内狭窄病变的经验.方法 回顾性分析2015年1月至2017年6月期间经支气管镜介入治疗的91例局部气道严重狭窄的病例.结果 经支气管镜介入治疗后狭窄气道开通程度能够影响术中出血量,气道开通程度高的腔内狭窄病变并发出血量要显著小于开通程度低的病变(P0.05).结论 经支气管镜介入是治疗气道严重狭窄的有效方式,介入开通程度及联合介入方式中是否包含冷冻操作可影响术中出血量.
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