治疗性支气管镜干预治疗儿童非外体移除的迹象
Karan Madan1, Sheetal Agarwal1,2, Jingade T Shrikanta3
1All India Institute of Medical Sciences, New Delhi, India.
Pediatric pulmonology
|December 31, 2024
概括
治疗性支气管镜检查对于治疗儿科中央气道阻塞 (CAO) 和其他气道问题是安全有效的. 这些干预措施,包括扩张和脱,显示出高的成功率,在儿童中可管理的并发症.
科学领域:
- 儿科肺病学 儿科肺病学
- 干预性肺病学 干预性肺病学
- 儿科气道管理 儿童气道管理
背景情况:
- 儿科呼吸道内镜的指示范围正在扩大,超出了外体的去除范围.
- 对于儿童的中央气道阻塞 (CAO) 和其他中央气道病理,治疗干预越来越可行.
研究的目的:
- 描述儿童治疗性支气管镜干预的指示,程序,结果和并发症,用于非外体移除指示.
主要方法:
- 在四个中心进行了回顾性图表审查.
- 在2015年1月至2023年11月期间,对72名儿童 (平均年龄:140个月) 进行了143次治疗性支气管镜干预的分析.
- 程序包括气道扩张,内膜瘤解和插入支架,使用刚性或柔性支气管镜.
主要成果:
- 67 (93%) 患者患有CAO,常见的诊断包括后结核性气管支气管狭窄症 (29%),中央气道瘤 (26%) 和输液后气管狭窄症 (26%).
- 气道狭窄是最常见的发现 (59.7%),其次是内膜生长 (29.2%).
- 在92%的患者中取得了立即的手术成功,其中19.4%的患者出现了轻微的并发症. 在46%的儿童中,需要重复手术.
结论:
- 多模式治疗性支气管支气管干预在患有CAO和其他中央呼吸道征兆的儿科患者中是可行的和安全的.
- 与成人群体相似,这些先进的支气管镜技术为复杂的儿科呼吸道疾病提供了有效的治疗选择.
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