由于格雷夫斯病引起的巨型引起的气管狭窄的片支架放置:一个病例报告
Mariko Misaki1,2, Naoya Kawakita1,2, Tomoyo Hara3
1Department of Thoracic, Endocrine Surgery and Oncology, Institute of Health, Biosciences, The University of Tokushima, Tokushima, Japan.
Gland surgery
|May 9, 2024
概括
来自良性甲状腺瘤的严重气管狭窄症是罕见的. 一个气管支架在一个患有巨型的格雷夫斯病患者的呼吸道阻塞中成功管理了呼吸道阻塞,改善了呼吸.
科学领域:
- 内分泌学 在内分泌学.
- 肺部病理学 肺部病理学
- 医疗器械 医疗器械
背景情况:
- 由良性甲状腺瘤引起的严重气管狭窄不常见.
- 格雷夫斯病可以导致巨型,可能导致气道压缩.
- 甲状腺可以延伸到中,增加气管狭窄症的风险.
研究的目的:
- 描述一个严重的气管狭窄的病例,由于巨大的.
- 为了评估气管支架放置在管理这种情况的有效性.
- 突出高风险患者手术的替代方案.
主要方法:
- 一位93岁的女性患者,患有32年的格雷夫斯病史和喉,出现了急性呼吸困扰.
- 计算机断层扫描证实了一个巨大的,导致严重的气管狭窄 (1毫米光线).
- 由于手术风险很高,一个气管支架 (Dumon tube®) 被放置在全身麻醉下.
主要成果:
- 气管支架有效地缓解了呼吸困难和.
- 植入支架后没有观察到直接的并发症.
- 三个月后,通过 argon 血凝固成功管理了缩小支架光线的轻微颗粒组织.
结论:
- 在良性甲状腺瘤引起的严重气管狭窄的情况下,烯气管支架是一种有效的方法来保护呼吸道.
- 这种干预为巨型的患者提供了一个可行的选择,这些患者是不良的手术候选人.
- 气管支架为甲状腺病理导致的危及生命的呼吸道损害提供了最少的侵入性解决方案.
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