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首页> 外文期刊>Journal of bronchology: dedicated to the art and science of bronchoscopy and related disciplines >Argon Plasma Coagulation in Bronchology: A New Method Alternative or Complementary?
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Argon Plasma Coagulation in Bronchology: A New Method Alternative or Complementary?

机译：支气管学中的氩气血浆凝结：一种替代或补充的新方法？

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Argon plasma coagulation (APC) is a thermal coagulation technique that uses ionized argon to transmit high-frequency electrical current, contact free, to tissue. APC has been used in surgery for more than 20 years, particularly for the hemostasis of superficial bleeding. Although APC has become well established in gastrointestinal endoscopy since its introduction in 1991, very few reports of its use in bronchoscopy exist to date. From June 1994 to June 1998, 364 patients (80 women, 284 men), 88% with a confirmed malignant tumor, were treated prospectively in a total of 482 sessions. The single most common indication was recanalization of malignant airway stenoses (186 patients). The defined therapy objective was achieved with good results in 67% of patients. More than 90% of interventions were performed with rigid bronchoscopy. Despite less penetration compared with Nd:YAG laser, extensive bronchial tumors were treatable, in which coagulated tumor fractions were removed either with forceps or bronchoscope tip. The second indication was bleeding in the central airways (119 patients). Acute hemostasis was achieved in 118 patients, 20% in whom the flexible technique under local anesthesia was used. In 34 patients, APC was successfully used to recanalize occluded stents. Rare indications included benign endobronchial tumor, fistula conditioning before fibrin adhesion, and the treatment of scar tissue stenosis. Summarizing all complications, a rate of 3.7% "per treatment" was recorded. Two patients died within 24 hours; their deaths were not directly related to APC. APC is an effective and safe technique for the treatment of bronchologic tumor ablation and hemostasis and can be used with local anesthetic with flexible bronchoscopy or rigid bronchoscopy with general anesthesia. Compared with Nd:YAG laser, APC is an economic alternative technique offering more effective hemostasis. Furthermore, APC is of particular value as a compliment to well-known techniques, increasing the options in interventional bronchoscopy.
机译：氩等离子体凝结（APC）是一种热凝技术，它使用离子化氩气将无接触的高频电流传输到组织。 APC在外科手术中已经使用了20多年，特别是用于浅层出血的止血。尽管自从1991年引入APC以来，它在胃肠道内窥镜检查中已经很成熟，但迄今为止，几乎没有关于其在支气管镜检查中使用的报道。从1994年6月至1998年6月，总共482次治疗前瞻性治疗了364例患者（80例女性，284例男性），其中88％的患者确认为恶性肿瘤。最常见的适应症是恶性气道狭窄再通（186例）。在67％的患者中达到了明确的治疗目标，并取得了良好的效果。超过90％的干预是使用硬性支气管镜进行的。尽管与Nd：YAG激光相比穿透力较小，但可治疗广泛的支气管肿瘤，其中可用镊子或支气管镜尖端去除凝结的肿瘤部分。第二个迹象是中央气道出血（119例患者）。 118例患者实现了急性止血，其中20％使用了局部麻醉下的柔性技术。在34例患者中，APC被成功地用于再次根管闭塞性支架。罕见的适应症包括良性支气管内肿瘤，纤维蛋白粘附前的瘘管调节以及疤痕组织狭窄的治疗。总结所有并发症，记录为“每次治疗” 3.7％。 2名患者在24小时内死亡;他们的死亡与APC没有直接关系。 APC是一种治疗支气管肿瘤消融和止血的有效且安全的技术，可与采用柔性支气管镜的局麻药或采用全身麻醉的刚性支气管镜一起使用。与Nd：YAG激光相比，APC是一种经济有效的止血替代技术。此外，APC作为对众所周知技术的补充，具有特殊价值，增加了介入性支气管镜检查的选择。

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