Evaluating The Efficacy Of Useing Endoscopic Interventional Treatments For8Patients With Benign Central Airway Stenoses

Purpos:To find our group recently application of fiber bronchoscope involvedin treatment of the central airway stenosis8cases of hospitalizedpatients.Evaluation of fiber bronchoscope mediated the curative effect ofthe intervention of the central airway stenosis patients.Methods:A retrospective summary since AUG201-December2014hospitalized in our hospital respiratory and8patients with central airwaystenosis, observe the application of fiber bronchoscope mediated byArgon Plasma coagulation (Argon Plasma Coapulation APC) and frozenairway diameter before and after interventional therapy and shortness ofbreath, evaluate its therapeutic effect.Results:In August,1.2013-December2014hospitalized in our hospitalrespiratory and9cases of patients with central airway stenosis.5women,3men.Ranging in age from19to70years, age composition of30yearsold of less than2people,3people30~60years old, three people over60.According to the nature of the lesion classification: benign7people (1mucus adenoma,1schwannoma,1tracheal polyps, granulation tissue hyperplasia in3,1) carcinoid,1malignant lesions (squamous carcinoma(1).According to the pathological changes position classification: trachealstenosis,5people left main bronchial stenosis2people,1right mainbronchial stenosis.2. The recent and forward curative effect: application of fiberbronchoscope mediated by argon plasma coagulation (APC) and frozenafter interventional therapy, the vast majority of patients were87.5%(7/8)can obtain obvious recent curative effect (3months).In a chest tightness,shortness of breath and other symptoms had tremendous relief, return toindependent living ability, even fully recovered daily life level.Long-termefficacy (3~12months) follow-up,50%(4/8) of patients (all are benigntracheal tumors) cure.12.5%(1/8) of patients in a began to feel a mildshortness of breath, but the future visit.37.5%(3/8) of patients withcontinuous tumor, granulation tissue hyperplasia, fibrous scar formationcause sick again (discharge time.1~6months), and need to continue toapply a variety of joint intervention in order to maintain or consolidate itstherapeutic effect.Conclusion:1. We should be fully recognized and vigorously promote thefiberoptic bronchoscopy effect of interventional therapy for the treatmentof benign tumor of the central airway, reduce unnecessary economic lossand body burden. (2) In patients with postoperative scar stricture or granulation tissuehyperplasia, should be under a balloon expansion (BD) preferred balloonexpansion, and assisted other interventional treatment.If no balloonexpansion, should take the short-term control illness development, strivefor further intervention for patients for treatment purposes.(3) For airway in patients with malignant tumor, because has foundin the terminal cancer, more cannot effect a radical cure operation, shouldstill preferred radiation and chemotherapy, and the pipe under theinterventional treatment should be more quickly relieve symptoms,improve quality of life, and for the radiation and chemotherapy to buytime for the purpose.