CAJ | 학술논문

目的探讨喉罩通气全麻下经纤维支气管镜行Y型气管支架植入术的疗效、安全性和可行性.方法选择隆突受累的复合气道病变6例,在行静脉全身麻醉后,再在喉罩通气下经纤维支气管镜指导和X线透视下,放置气道Y型一体化自膨胀式支架.结果喉罩通气全麻下Y型气管支架置入均获得成功,6例患者置入内支架后症状均缓解,无一例发生严重并发症,安全性高.结论喉罩全麻通气下气道Y型支架置入能有效解除气道复合病变,技术可行,操作简单,耐受性好,为临床治疗复合气道梗阻提供了一种新的安全的治疗手段.
목적 탐토후조통기전마하경섬유지기관경행Y형기관지가식입술적료효、안전성화가행성.방법 선택륭돌수루적복합기도병변6례,재행정맥전신마취후,재재후조통기하경섬유지기관경지도화X선투시하,방치기도Y형일체화자팽창식지가.결과 후조통기전마하Y형기관지가치입균획득성공,6례환자치입내지가후증상균완해,무일례발생엄중병발증,안전성고.결론 후조전마통기하기도Y형지가치입능유효해제기도복합병변,기술가행,조작간단,내수성호,위림상치료복합기도경조제공료일충신적안전적치료수단.
Objective To assess the efficacy,safety and feasibility of Y-shaped airway stent with bronchoscope under laryngeal mask airway.Methods Six patients with airway complex disease were treated by the inserting of Y-shaped self-expandable metal stents under the guidance of interventional fibroscopy and fluoroscopy after intravenous anesthesia under laryngeal mask airway.Results The inverted Y-shaped airway stent were placed successfully with immediate relief of the symptom under laryngeal mask airway.Conclusions The placement of inverted Y-shaped airway stent under laryngeal mask airway is an effective,feasible,simple and safe treatment for complex airway disease.