支气管镜下氩等离子体联合冷冻治疗支气管内型 肺错构瘤临床分析

Analysis of argon plasma coagulation combined with cryotherapy in treatment of endobronchial hamartoma

摘要:

目的 探讨支气管镜下氩等离子体联合冷冻治疗以支气管内型为主的肺错构瘤的有效性和安全性。 方法 回顾性分析2008 年4 月-2016 年10 月咸阳市中心医院经病理确诊的支气管内型错构瘤6 例患者使用 荧光支气管镜进行氩等离子体联合冷冻治疗的结果和临床资料，并通过支气管镜复查和胸部CT 评估治疗效 果。结果 6 例患者中男性5 例，女性1 例，经支气管镜下氩等离子体联合冷冻治疗后管腔内肿块明显消失， 管腔通常，患者气促评分及第一秒用力呼气量（FEV1）均明显改善，所有患者无咯血、气胸等并发症。结论 使用支气管镜氩等离子体联合冷冻治疗支气管内型肺错构瘤安全、有效，适合临床应用。

Abstract:

Objective To explore the clinical significance of argon plasma coagulation combined with cryotherapy in the treatment of endobronchial hamartoma. Methods A retrospective analysis was conducted in 6 inpatients with endobronchial hamartoma pathologically diagnosed between April 2008 and October 2016 in the Xianyang Central Hospital. BF-F260 fluorescence bronchoscope was used in argon plasma coagulation combined with cryotherapy for treatment of the patients. The therapeutic efficacy was assessed by computed tomography and bronchoscopy. Results In the 6 patients, 5 were males and 1 was female. After treatment, the endobronchial hamartoma disappeared and bronchial lumen became patent. There was no complication such as hemoptysis or pneumothorax. Conclusions Interventional therapies through flexible bronchoscope appear to be safe and effective for removing endobronchial hamartoma.