...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of bronchology: dedicated to the art and science of bronchoscopy and related disciplines >Repetitive Endoscopic Laser Treatments for Palliation of Lung Malignancies
【24h】

Repetitive Endoscopic Laser Treatments for Palliation of Lung Malignancies

机译：重复内镜激光治疗对肺恶性肿瘤的缓解

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Endobronchial laser therapy is generally safe and well tolerated. Because the laser is a form of nonionizing radiation, therapy can be repeated as often as needed. Two male patients, 50 and 55 years old, were referred to our clinic because of severe dyspnea and massive hemoptysis, the first 3 years ago and the second 1.5 years ago. In his medical history, the former patient had a thoracotomy for thymoma resection 5 years ago. Rigid bronchoscopy was performed under general anesthesia, Nd:YAP (neodymium-yttrium, aluminum, pevroskite) laser resection and silicon stent insertion were carried out for an endobronchial mass that was almost completely obliterating the left main bronchus. During the next 2 years, the same procedure was repeated 6 times to prevent distal tracheal obliteration. The left lung has now been totally collapsed for 2 years and the patient is still alive and healthy. The latter was a patient with a centrally located nonsmall cell lung cancer invading the middle and lower trachea, right main and upper lobe bronchi causing near-total obstruction. Rigid bronchos-copy was performed under general anesthesia. Nd:YAP laser coagulation and mechanical resection were carried out and a Dumon "Y" stent was inserted. In 1.5 years, therapeutic bronchoscopy was repeated 6 times. The patient is alive without dyspnea or respiratory insufficiency, although with brain metastases. Endoscopic laser resection of lung malignancies is rapid, effective, repeatable, and complementary to other treatments; although it should be considered only palliative, it could be curative in benign lesions and early cancers.
机译：支气管内激光治疗通常是安全的并且耐受性良好。由于激光是非电离辐射的一种形式，因此可以根据需要重复进行治疗。在前3年和后1.5年，由于严重的呼吸困难和大量咯血，有两名分别为50和55岁的男性患者被转诊至我们的诊所。在他的病史中，这位前病人在5年前进行了胸腺瘤切除术。在全身麻醉下进行硬性支气管镜检查，对几乎完全消除左主支气管的支气管内肿块进行Nd：YAP（钕钇铝，铝，坡缕石）激光切除和硅支架置入术。在接下来的2年中，重复相同的步骤6次，以防止远端气管闭塞。左肺现在已经完全塌陷了2年，患者仍然活着并且健康。后者是一例位于中心的非小细胞肺癌，侵犯了气管中，下气管，右主干和上叶支气管，造成了几乎完全的阻塞。硬支气管镜检在全身麻醉下进行。进行Nd：YAP激光凝固和机械切除，并插入Dumon“ Y”型支架。在1.5年内，重复进行了6次治疗性支气管镜检查。该患者活着，没有呼吸困难或呼吸功能不全，尽管有脑转移。内镜激光切除肺部恶性肿瘤是快速，有效，可重复的，并且是其他治疗的补充;尽管仅应将其视为姑息药，但在良性病变和早期癌症中可以治愈。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号