CAJ | 학술논문

目的回顾性分析BF-XP60型纤维支气管镜(超细纤支镜)在临床中应用效果.方法收集135例经超细纤支镜检查与介入治疗的临床资料,总结分析其并发症的发生情况.结果 135例患者中副作用发生情况为鼻腔局部黏膜损伤渗血3例、声门处黏膜损伤渗血2例、气管支气管局部黏膜渗血3例,介入治疗后出现发热13例、大出血1例、气胸1例、胸痛2例,超细纤支镜内部分纤维折断损坏2例、发生超细纤支镜在气管内打折致检查失败4例、心律失常0例、窒息0例、死亡0例.副作用总发生率为22.9％(31/135).结论超细纤支镜易发现位于细支气管内的病灶及肺外周病变,还可对拟行介入治疗的气道阻塞远端支气管进行评价.如何降低该款支气管镜应用时相关副作用的发生,提高检查与介入治疗成功率与安全性是值得关注的问题.
목적 회고성분석BF-XP60형섬유지기관경(초세섬지경)재림상중응용효과.방법 수집135례경초세섬지경검사여개입치료적림상자료,총결분석기병발증적발생정황.결과 135례환자중부작용발생정황위비강국부점막손상삼혈3례、성문처점막손상삼혈2례、기관지기관국부점막삼혈3례,개입치료후출현발열13례、대출혈1례、기흉1례、흉통2례,초세섬지경내부분섬유절단손배2례、발생초세섬지경재기관내타절치검사실패4례、심률실상0례、질식0례、사망0례.부작용총발생솔위22.9％(31/135).결론 초세섬지경역발현위우세지기관내적병조급폐외주병변,환가대의행개입치료적기도조새원단지기관진행평개.여하강저해관지기관경응용시상관부작용적발생,제고검사여개입치료성공솔여안전성시치득관주적문제.
Objective To retrospectively analyze of clinical application of BF-XP60 micro-bronchoscopy.Methods 135 clinical data of patients who adopted ultrafine micro-bronchoscopy and intervention were collected and analyzed for the complications.Results The frequency of local rhinomusoca damaging and errhysis was in 3 cases,the mucous of the glottis damaging and errhysis was in 2 cases,local mucous of the tracheal bronchus errhysis was in 3 cases.After intervention,the frequency of fever was in 13 cases,massive haemorrhage was in 1 case,pneumothorax was in 1 case,chest pain was in 2 cases,part fiber of inner untrafine micro-bronchoscopy broken was in 2 cases,check failure due to ultrafine micro-bronchoscopy broken in trachea was in 4 cases,and arrhythmia,asphyxia,and death were in 0 case.The overall incidence of side effects was 22.9％ (31/135).Conclusion Application of ultrafine micro-bronchoscopy was contributed to find the lesions within the bronchioles and around the lungs,moreover,it could evaluate the distal bronchus of airway obstruction which was planned to adopt intervention.The topic that how to reduce the incidence of the side effects of the micro-brohchoscopy and improve the success rate and safety of inspection and intervention was worth to be concerned.