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首页> 外文期刊>Journal of bronchology: dedicated to the art and science of bronchoscopy and related disciplines >Silicone Stents versus Metal Stents for Management of Benign Tracheobronchial Disease Pro: Metal Stents
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Silicone Stents versus Metal Stents for Management of Benign Tracheobronchial Disease Pro: Metal Stents

机译：硅胶支架与金属支架管理良性气管支气管疾病Pro：金属支架

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Recently, tracheobronchial stents have become available that are constructed with metal alloys, self-expanding, and able to be placed in the bronchoscopy suite using the flexible bronchoscope, local anesthesia, and conscious sedation. These stents can be used for both benign and malignant conditions. There is little debate regarding the use of metal stents for the treatment of malignant airway obstruction. The subject of this debate is whether patients with benign disease should ever undergo stent placement using metal stent technology. We believe that the metal stent has an indication for placement in benign disease. However, it will be suggested in the opposing viewpoint that these stents should never be placed in patients with benign tracheobronchial disease and that silicone stents should be placed instead. We believe that a comparison of the success and complication rates between silicone and metal stents will show that this position is unwarranted. In properly selected patients and in the hands of a skilled endoscopist, the self-expanding metal stent is not only a viable alternative but may be the best available stent for a selected disease.
机译：最近，气管支气管支架已经可用，该支架由金属合金制成，可自我膨胀，并且能够使用柔性支气管镜，局部麻醉和清醒镇静剂放置在支气管镜套件中。这些支架可用于良性和恶性疾病。关于使用金属支架治疗恶性气道阻塞的争论很少。辩论的主题是良性疾病患者是否应该使用金属支架技术进行支架置入。我们认为金属支架可指示良性疾病的位置。但是，从相反的观点出发，建议不要将这些支架放置在气管支气管良性疾病患者中，而应该放置硅胶支架。我们认为，对硅胶和金属支架之间的成功率和并发症发生率进行比较将表明，这种立场是毫无根据的。在适当选择的患者中以及在熟练的内镜医师的手中，自膨胀金属支架不仅是可行的选择，而且可能是针对特定疾病的最佳可用支架。

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