以氣管支架治療氣管狹窄－病例報告

Tracheal Stenting for the Treatment of Tracheal Stenosis - Case Report

詹凱傑(Kai-Chieh Chan) ； 李學禹(Hsueh-Yu Li)

《中華民國耳鼻喉科醫學雜誌》 37卷5期 (2002/08) Pp. 372-375

https://doi.org/10.6286/2002.37.5.372

摘要

氣管狹窄的治療可概分為外科切除重建手術及內視鏡術式。相較於傳統外科手術的高風險，各種內視鏡擴張方法是比較安全的手術，然而亦有其限制，尤其是嚴重狹窄且已形成堅硬疤痕組織的病例。本科於2001年7月經歷1名氣管癌病患，先前因接受放射治療及多次氣管雷射手術，造成嚴重氣管狹窄。經雷射在結疤狹窄處做縱向切開並放置氣管支架於狹窄處予以擴張後，呼吸不適症狀獲得顯著改善。術後6個月追蹤情形良好，無再度氣管狹窄現象。由此病例之經驗得知，對於氣管狹窄的處理，氣管支架的置放，不啻是另一項治療選擇。

關鍵字

氣管狹窄 ； 氣管支架

並列摘要

Treatment of tracheal stenosis is broadly divided into surgical resection with reconstruct-tion and endoscopic surgery. Endoscopic dilation surgery is much safer than traditional surgical intervention. However, it had limitations, especially in cases of severe stenosis with scar formation. We report on a 51-yeart-old male with tracheal cancer, who received radiotherapy and several courses of bronchoscopy with laser. Unfortunately, recurrent tracheal stenosis with dyspnea developed because of severe scar formation. We implanted a tracheal stent after dilating tracheal stenosis and respiratory distress improved there-after. During the 6-month OPD follow-up, no evidence of recurrent tracheal stenosis was found. Tracheal stenting is effective in our preliminary experience with this case. It is an alternative in the treatment of tracheal stenosis.

並列關鍵字

tracheal stenosis ； tracheal stent