CAJ | 학술논문

目的：讨论局麻隆突下通气辅助下气管支架置入术的可行性与安全性。方法25例恶性气管狭窄的患者在徐州医学院附属医院介入科行局麻隆突下通气辅助下气管支架置入术。治疗过程中，预先将一根4F单弯导管置入隆突下一侧支气管作为通气导管进行通气，然后在通气的保护下行气管支架置入术，支架释放后轻柔的撤出通气导管。结果局麻下隆突下通气辅助下气管支架置入术在25例患者中均获得成功。术后25例患者症状均得到改善。3例患者出现了支架再狭窄，患者生存期为55～320 d。结论局麻下隆突下通气辅助下气管支架置入术是一种安全、简便并且有效的方法，值得临床推广应用。
목적：토론국마륭돌하통기보조하기관지가치입술적가행성여안전성。방법25례악성기관협착적환자재서주의학원부속의원개입과행국마륭돌하통기보조하기관지가치입술。치료과정중，예선장일근4F단만도관치입륭돌하일측지기관작위통기도관진행통기，연후재통기적보호하행기관지가치입술，지가석방후경유적철출통기도관。결과국마하륭돌하통기보조하기관지가치입술재25례환자중균획득성공。술후25례환자증상균득도개선。3례환자출현료지가재협착，환자생존기위55～320 d。결론국마하륭돌하통기보조하기관지가치입술시일충안전、간편병차유효적방법，치득림상추엄응용。
Objective To discuss the feasibility and safety of the sub-carinal ventilation-assisted airway stenting under local anesthesia for airway stenosis. Methods 25 consecutive patients with airway stenosis underwent the treatment of sub-carinal ventilation-assisted airway stenting under local anesthesia. During the treatment, a 4 F VER catheter was placed into one of the main bronchi as a ventilatory catheter for oxygen supply in advance, then the airway stenting was performed, after release of the stent, the ventilatory catheter was removed smoothly. Results Sub-carinal ventilation-assisted airway stenting under local anesthesia was technically successful in all patients. The improvement of the respiratory difficulty was achieved in 100%of our patients. Through the follow-up, 3 patients suffered the re-stenosis of stent. The survival time was 55-320 days after treatment. Conclusion Sub-carinal ventilation-assisted airway stenting under local anesthesia can be an effective, simple and safe method for airway stenosis.