CAJ | 학술논문

【目的】探讨硬性支气管镜技术在儿科气管及食管疾病诊断和治疗中的应用价值。【方法】回顾性分析湖南省儿童医院1998年9月至2012年6月6370例接受硬性支气管镜检查治疗的患儿资料。【结果】应用硬性支气管镜技术检查、治疗小儿疾病共6370例，其中男3623例（56．9％），女性2747例（43．1％）；年龄1个月至12岁，平均1．5岁。主要病因为气管或支气管异物（5475例），支气管肺炎（786例），支气管内膜结核（5例），急性喉气管支气管炎（15例），纤维素性支气管炎（12例），气管狭窄（13例），咯血（5例），食道狭窄（35例），食道异物取出（16例），气管食管瘘（3例），气管内肿瘤（3例），肺内真菌病（2例）。所有行支气管镜检患儿均接受全身麻醉。6171例一次手术成功，199例实施二次或二次以上手术。术后出现并发症363例，其中死亡病例2例。【结论】硬性支气管镜检查损伤小，方法简单，成功率高，是诊治儿童气管及食管疾病的有效方法。
【목적】탐토경성지기관경기술재인과기관급식관질병진단화치료중적응용개치。【방법】회고성분석호남성인동의원1998년9월지2012년6월6370례접수경성지기관경검사치료적환인자료。【결과】응용경성지기관경기술검사、치료소인질병공6370례，기중남3623례（56．9％），녀성2747례（43．1％）；년령1개월지12세，평균1．5세。주요병인위기관혹지기관이물（5475례），지기관폐염（786례），지기관내막결핵（5례），급성후기관지기관염（15례），섬유소성지기관염（12례），기관협착（13례），각혈（5례），식도협착（35례），식도이물취출（16례），기관식관루（3례），기관내종류（3례），폐내진균병（2례）。소유행지기관경검환인균접수전신마취。6171례일차수술성공，199례실시이차혹이차이상수술。술후출현병발증363례，기중사망병례2례。【결론】경성지기관경검사손상소，방법간단，성공솔고，시진치인동기관급식관질병적유효방법。
[Objective] To explore the application value of rigid bronchoscope technique in the diagnosis and treat‐ment of pediatric bronchial and esophageal disease .[Methods]Clinical data of 6370 pediatric patients accepting rigid bron‐choscopy in Hunan provincial children's hospital from Sept .1998 to June 2012 were analyzed retrospectively .[Results]To‐tally 6370 cases of pediatric diseases received rigid bronchoscopy .Among them ,3623 cases were male(56 .9% ) and 2747 cases were female(43 .1% ) .The age was 1 month to 12 years ,and the average age was 1 .5 years .The main causes were trachealorbronchialforeignbodies(5475cases),bronchopneumonia(786cases),bronchialtuberculosis(5cases),acute laryngeal tracheal bronchitis(15 cases) ,plastic bronchitis(12 cases) ,tracheal stenosis(13 cases) ,hemoptysis(5 cases) , esophageal stenosis(35 cases) ,esophageal foreign body(16 cases) ,tracheoesophageal fistula(3 cases) ,tracheal tumors(3 cases) and pulmonary mycosis(2 cases) .All cases received bronchoscopy under general anesthesia .One‐time operation was implemented in 6171 patients successfully .Two or more operations were implemented in 199 patients .Postoperative complications were found in 363 patients in which 2 patients died .[Conclusion]Rigid bronchoscopy is simple and minimally invasive ,and has high successful rate .Therefore ,it is an effective method for the diagnosis and treatment of bronchial and esophageal diseases in children .