CAJ | 학술논문

目的:探讨支气管镜下氩等离子凝固治疗支气管肺癌的疗效.方法:31例经支气管镜检查并病理确诊的支气管肺癌患者,且胸片或胸部CT示有阻塞性肺炎或肺不张,在支气管镜下行氩等离子凝固治疗并追踪观察.以病变狭窄获得再通临床症状改善的疗效进行评价.结果:31例支气管肺癌经支气管镜下氩等离子凝固治疗1～4次后,临床评价完全有效15例(48.4%)、部分有效12例(38.7%)、轻度有效4例(12.9%),总有效率100%.结论:支气管镜下氩等离子凝固治疗能明显缩小肿瘤、通畅呼吸道,改善临床症状,消除肿瘤阻塞引起的肺炎、肺不张,是治疗支气管肺癌的有效而安全的手段.
목적:탐토지기관경하아등리자응고치료지기관폐암적료효.방법:31례경지기관경검사병병리학진적지기관폐암환자,차흉편혹흉부CT시유조새성폐염혹폐불장,재지기관경하행아등리자응고치료병추종관찰.이병변협착획득재통림상증상개선적료효진행평개.결과:31례지기관폐암경지기관경하아등리자응고치료1～4차후,림상평개완전유효15례(48.4%)、부분유효12례(38.7%)、경도유효4례(12.9%),총유효솔100%.결론:지기관경하아등리자응고치료능명현축소종류、통창호흡도,개선림상증상,소제종류조새인기적폐염、폐불장,시치료지기관폐암적유효이안전적수단.
Objective To evaluate the effect of bronchoscopic argon plasma coagulation thera-py on bronchial carcinoma. Methods Thirty-one bronchial carcinoma patients were diagnosed by bronchoscope and pathological tests, with or without atelectasis or obstructive pneumonia on chest X-ray or chest CT. Argon plasma coagulation therapy was performed through bronchoscope. The location of the airway lesions, the degree of obstruction, dyspnea index, and complications were evaluated. Results The patients with bronchial carcinoma were treated 1～4 times by bronchoscopic argon plas-ma coagulation therapy. Full effectiveness was achieved in 15 patients (48.4 %), partial in 12 (38.7%), and mild in the other 4 ( 12.9 % ). The overall effective rate was 100 %. Conclu-sion Bronchoscopic argon plasma coagulation therapy for bronchial carcinoma can remarkably reduce the tumor size, relieve clinical symptoms, and alleviate the obstruction caused by bronchial neoplasm. Brouchoscopic argon plasma coagulation therapy is an effective and safe method for patients with bron-chial carcinoma.