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首页> 外文期刊>Journal of bronchology & interventional pulmonology >Long-term Outcome of Short Metallic Stents for Lobar Airway Stenosis
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Long-term Outcome of Short Metallic Stents for Lobar Airway Stenosis

机译：Lobar气道狭窄短金属支架的长期结果

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Background: Whereas stents are considered an excellent treatment for proximal central major airway stenosis, the value of stenting for distal lobar airway stenosis is still controversial. Our aim was to explore the short-term and long-term outcome of metallic stents placed for benign and malignant lobar airway stenosis. Methods: Between July 2007 and July 2014,14 patients underwent small airway stent insertion. The clinical follow-up included serial semiannual physical examinations, pulmonary function tests, imaging, and bronchoscopy. Results: The etiologies for airway stenosis were: early post-lung transplantation bronchial stenosis (N = 5), sarcoidosis (N = 1), amyloidosis (N = 1), anthraco-fibrosis (N = 1), right middle lobe syndrome due to external lymph node compression (N = 1), lung cancer (N = 4), and stenosis of the left upper lobe of unknown etiology (N = 1). Stents were placed in the right upper lobe bronchus (N = 2), right middle lobe bronchus (N = 6), left upper lobe bronchus (N = 4), linguar bronchus (N = 1), and left lower lobe bronchus (N = 1). The median follow-up period ranged from 2 to 72 months (median 18 mo). Immediate relief of symptoms was achieved in the vast majority of patients (13/ 14, 92%). Out of 10 patients with benign etiology for stenosis, 9 (90%) experienced sustained and progressive improvement in pulmonary function tests and clinical condition.
机译：背景：虽然支架被认为是近端中央主要气道狭窄的优良处理，但远端洛巴尔航空公司狭窄的支架价值仍存在争议。我们的目的是探讨为良性和恶性洛巴巴气道狭窄而放置的金属支架的短期和长期结果。方法：2007年7月至2014年7月，14岁的患者接受了小气道支架插入。临床随访包括连续半年体检，肺功能试验，成像和支气管镜检查。结果：气道狭窄的病因为：早期后肺癌移植支气管狭窄（n = 5），结节病（n = 1），淀粉样症（n = 1），腹泻 - 纤维化（n = 1），右中叶综合征到期对于外部淋巴结压缩（n = 1），肺癌（n = 4），以及未知病因的左上叶的狭窄（n = 1）。将支架置于右上叶支气管（n = 2），右中叶支气管（n = 6），左上叶支气管（n = 4），linguar支气管（n = 1），左下叶支气管（n = 1）。中位随访期限为2至72个月（中位数18 Mo）。绝大多数患者（13 / 13,92％）取得了立即缓解症状。在10名患者中，狭窄的良性病因患者，9（90％）经历了肺功能试验和临床状况的持续和逐渐改善。

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