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目的探讨纤维支气管镜介入技术在气管腺样囊性癌治疗中的应用价值。方法以第二军医大学附属长海医院呼吸科2000-01～2005-10间收治的原发性气管腺样囊性癌患者13例为研究对象,经纤维支气管镜行介入治疗,观察治疗前后患者气道直径、气促症状的改善情况。结果治疗后完全有效6例(46.2%)、部分有效7例(53.8%)、近期有效率100%,气促指数由(3.5±0.8)下降为(1.5±0.6),气道直径由(4.1±3.5)mm扩大为(12.2±4.1)mm(P<0.05)。结论纤维支气管镜介入技术作为姑息性治疗手段,可有效切除肿瘤,维持气道通畅,为气管腺样囊性癌治疗提供一种新选择。
Objective To investigate the value of bronchofibroscope interventional technique in the treatment of tracheal adenoid cystic carcinoma. Methods Thirteen patients with primary tracheal adenoid cystic carcinoma admitted to Department of Respiratory Diseases, Changhai Hospital, Second Military Medical University from 2000-01 to 2005-10 were selected as the study subjects. The patients were treated by bronchofibroscopy before and after treatment Road diameter, shortness of breath symptoms to improve the situation. Results After treatment, 6 cases (46.2%) were effective and 7 cases (53.8%) were partially effective. The effective rate was 100% and the index of shortness of breath decreased from (3.5 ± 0.8) to (1.5 ± 0.6) ± 3.5) mm to (12.2 ± 4.1) mm (P <0.05). Conclusion As a palliative treatment, fibroscopic bronchoscopic interventional technique can effectively remove the tumor and maintain airway patency, providing a new option for the treatment of tracheal adenoid cystic carcinoma.