修改的刀片:在刚性支气管检查中,对于不可切除的良性气管狭窄症的干预选择
Gaetana Messina1, Vincenzo Di Filippo2, Francesca Capasso2
1Thoracic Surgery Unit, Università Degli Studi Della Campania "Luigi Vanvitelli", Via Pansini 5, 80131, Naples, Campania, Italy. adamessina@virgilio.it.
Journal of cardiothoracic surgery
|February 8, 2024
概括
支气管镜刀片治疗有效地管理无手术患者的良性气管狭窄,显示较低的复发率比激光治疗. 这种方法提供了一种有效的保守的替代方案,用于气管缩.
科学领域:
- 肺部病理学 肺部病理学
- 胸部外科手术 胸部外科手术
- 干预性支气管科 干预性支气管科
背景情况:
- 良性气管支气管狭窄症会导致渐进性呼吸不良和低氧化.
- 良性气管狭窄症的最佳治疗策略仍在争论中.
- 这项研究评估了一种新的支气管镜扩张技术,使用刀片治疗纤维化病变.
研究的目的:
- 为了研究使用刀片装置进行支气管扩张的疗效,用于治疗良性气管狭窄症.
- 为了比较刀片辅助支气管检查与激光治疗的结果.
- 评估刀片技术的复发率和长期成功.
主要方法:
- 观察性,回顾性,单中心研究 (2011年11月 - 2021年9月).
- 包括患有良性气管狭窄症的不可手术的患者.
- 硬体支气管镜用刀片进行放射切口,随后进行硬体支气管镜和气球扩张.
主要成果:
- 61名患者接受了刀片治疗,52名患者接受了激光治疗.
- 在刀片组观察到较低的复发率 (8%在1个月,4%在3个月) 与激光组相比 (16%在1个月,6%在3个月).
- 用刀片的长期成功率:99%的简单,93%的混合和复杂的狭窄.
结论:
- 刀片辅助支气管扩张是一种安全有效的保守治疗不可手术的良性气管狭窄症.
- 这种技术减少了炎症反应,导致相比于激光相对较少的复发.
- 它代表了激光治疗的宝贵替代品,用于管理气管缩.
相关概念视频
Trachea
2.0K
The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
2.0K
Endotracheal Intubation I: Procedure
1.3K
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
1.3K
Tracheostomy: Procedure and Tubes
579
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
579
Tracheostomy Care I: Pre-procedural Steps
187
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
187
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
197
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
197
Tracheostomy Suctioning II: Procedure
251
Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
251


