The Assessment Of Of Using Endoscopic Inte Rventional Treatments For 95 Malignant Airway Stenoses

Objecyive:To analyze the clinical data and the endoscopic interventional treatments of 95 cases with malignant airway stenoses;analyze the causes of the malignant airway stenosis,and assess the efficacy and safety of endoscopic interventional treatmentsguided by bronchoscope.Materials and Methods:The clinical data of 95 cases with malignant airway stenoses for this retrospective study from January 2015 to December 2016.We reviewed patients records and bronchoscopic findings,to analys is the causes of the malignant airway stenosis.We employed interventional treatments through flexible bronchoscopy to treat malignant airway stenosis,the endoscopic interventional treatments include:electrocautery,cryotherapy,argon plasma coagulation(APC)and stent implantation.In order to evaluate the efficacy and safety of endoscopic interventional treatments,KPS index were evaluated while the safety was assessed by analyzing complications occurred perioperation and after perioperation.Results:1.The causes as follows:lung cancer 92(97.5%),adenocarcinoma 45(47.2%),squamous-cell carcinoma 28(29.4%),small cell carcinoma 16(16.8%),large cell carcinoma 2,carcinoid tumor 2,renal carcinoma 1;2.Via endoscopic interventional by hot ablation treatments with malignant airway stenoses 95,the total effective rate arrived to 100% without any severe complications,KPS score is arised form 62.54±5.28 to 78.75±7.72(p<0.05)with statistical signif icance;3.There were no serious complications occured perioperation except hyoxmia ?bledding and arrhythima,but most of which can be controled.Conclusion:1.At present in our country,the main cause of airway malignant stenosis is still bronchial carcinoma and esophageal cancer.Adenocarcinoma is the first cause of lung cancer;2.Via endoscopic interventional reatment can quickly remove necrotic tissue in tracheal tube,relieve airway obstruction,and to gain a clear recent curative effect.And hot ablation treatment(electrocautery,APC)has a good advantage of coagulation necrosis;3.The endoscopic intervention has a advantage of minor trauma,less complications and so on,is worth clinical popular izing widely;4.As a palliative treatment,endoscopic intervention treatment can solve part of the problem of lumen stenosis.Fundamentally,with effective local and systemic treatment or join tradiation and chemotherapy therapy,it may achieve a good therapy effect.