CAJ | 학술논문

目的：探讨喉罩通气全麻下经支气管镜介入治疗恶性中心气道狭窄的疗效及安全性。方法分析2013年04月-2014年08月在我科住院15例恶性中心气道狭窄患者临床资料。比较喉罩通气全麻下经支气管镜介入治疗前后患者气促评分、气道狭窄程度、肺功能指标变化及介入术后并发症。结果15例患者经喉罩通气全麻下介入治疗后气道狭窄程度由术前的(72．1±8．7)%下降至术后(20．1±10．4)%( P<0．05),气促评分由术前(3．1±0．7)下降至术后(1．1±0．4)(P<0．05),FEV1由术前(57．3±7．5)%上升至术后(78．9±9．2)%(P<0．05)。结论喉罩通气全麻下经支气管镜介入治疗恶性中心气道狭窄安全有效。
목적：탐토후조통기전마하경지기관경개입치료악성중심기도협착적료효급안전성。방법분석2013년04월-2014년08월재아과주원15례악성중심기도협착환자림상자료。비교후조통기전마하경지기관경개입치료전후환자기촉평분、기도협착정도、폐공능지표변화급개입술후병발증。결과15례환자경후조통기전마하개입치료후기도협착정도유술전적(72．1±8．7)%하강지술후(20．1±10．4)%( P<0．05),기촉평분유술전(3．1±0．7)하강지술후(1．1±0．4)(P<0．05),FEV1유술전(57．3±7．5)%상승지술후(78．9±9．2)%(P<0．05)。결론후조통기전마하경지기관경개입치료악성중심기도협착안전유효。
Objective To investigate the efficiency and safety of intervention with bronchoscopy under gen-eral anesthesia by using laryngeal mask in patients with central airway obstruction. Methods A total of 15 patients with central airway obstruction admitted from April 2013 to August 2014 were analyzed. The changes of dyspnea score, the degree of airway stenosis, forced expiratory volume in one second ( FEV1 ) were observed before and after treatment. Results The degree of airway stenosis and dyspnea score decreased after the treatment [(72. 1 ± 8. 7)%VS (20. 1 ± 10. 4)% (P<0. 05) and (3. 1 ± 0. 7) VS (1. 1 ± 0. 4) (P<0. 05)]. After intervention, the value of FEV1% increased from (57.3 ±7.5)% to (78.9 ±9.2)% (P<0.05). Conclusion It is an effective and safe technique to resolve the central airway obstruction with interventional bronchoscopy under general anesthesia by using laryngeal mask.