金属支架植入介入治疗中心气道狭窄的临床分析

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1、浙江大学硕士学位论文摘要therapyofimplantingmetallicstentsinmainairwaystenosis，coughandbreathlessnessarepalliatedinvaryingdegrees．Airwaystemswereplacedsuccussesfullycallinstantaneousrelievesymptoms，prolongpatientslivesandimprovelivingquality,especiallyinmalignantairwayste

2、nosispatients．objeetive：Tointroducetheplacementofstentsfortreatmentmainairwaystenosisunderdirectvisualmonitoringthroughtheflexiblebronchoscopy，toinvestigatethefeasibilityandtherapeuticeffectofY-shapedstentsforcomplexmainairwaydisease．Method：Dependingondiffere

3、ntcauseanddifferentstenosislocations15caseswitllmainairwaystenosiswereplacedvarioustypesofNI—TIstentsincludingY-shapedstentsunderdirectvisualmonitoringthroughtheflexiblebronchoscopy,andsomecaseswerethentreatedbyballoondilationorhigh—frequencyfulgurize．Results

4、：122NI-TIstentswereimplantedinthe15casesundertheguidanceofinterventionalflexiblebronchoseopyandfluoroscopy,including8Y-shapedincorporatedstents(6coverd，2uncoverd)．Theprocedurewassuccessfulbyoneimplantingin13patientsotherthantwo，inonecasebyimplantingagainafter

5、failure．Dyspneawasimprovedafteroperationinallcases．Thesymptomsofcoughandshortbreathingdisappearedin3bronchus—esophagusfistulacasesandonethoracic-stomachfistulacase．Stemsin12caseswerefounddilatingcompletely,adherentingwellandnomigrationbychestX—rayandbronchosc

6、opyonthethreedayafteroperation．Observetheallpatients2months-78months，therapyeffectwasoppositive．Themajorityofpatientssufferedfromthroatpain，14trachea·stenosiscasessufferedfromDysphagiain7daysafteroperation,2caseswithcoveredstentswerefoundpulmonaryupper-lobeat

7、electasis，andonesufferedfromasphyxiabecauseofVI浙江大学硕士学位论文摘要largehemoptysiswhileimplatingstent，5sufferedfromfever，2casesbyY-shapedstentswerefoundpneumothorax．Conelutions：TheprocedureofimplantingmetallicstentsfortreatmentthemainairwaystenosisresuRingfrommaligna

8、nttumorsisasafeandeffectivetherapy,andimplantingY-shapedincorporatedstentsaffordsa11CWtechnologyintreatingcomplexairwaydisease．Thenballoondilationisabetterwaythanstentingfortreatingtheben