经软镜氩等离子体凝切联合冷冻治疗肺癌大气道阻塞.pdf

第17卷第4期 中国内镜杂志 Vol. 17 No. 4 2011年4月 China Journal of Endoscopy Apr. 2011 文章编号： 1007-1989（2011）04-0374-03 ·论著· 经软镜氩等离子体凝切联合冷冻治疗肺癌大气道阻塞 张孝彬，廖秀清 （重庆市涪陵中心医院呼吸内科，重庆408000） 摘要：目的 探讨经软质支气管镜氩等离子体凝切（APC）联合冷冻治疗中央型肺癌大气道阻塞的疗效。 方法 将中央型肺癌大气道阻塞患者82例次，简单随机法分为Ⅰ组（APC联合冷冻治疗组）30例次，Ⅱ组 （APC治疗组）25例次、Ⅲ组（冷冻治疗组）27例次，分别予以APC联合冷冻治疗、单纯APC治疗、单纯冷冻治 结果 结论 疗，术后2周评价临床效果。 Ⅰ组有效率较Ⅱ组、Ⅲ组明显提高。 与单一使用APC或冷冻治疗比 较，APC联合冷冻治疗中央型肺癌大气道阻塞疗效进一步提高。 关键词： 氩等离子体；冷冻手术；支气管镜；肺癌 中图分类号： R768.11；R734.2 文献标识码： A Argon plasma coagulation (APC) combined with cryosurgery in the treatment of airway obstruction for lung cancer via the flexible bronchoscope ZHANG Xiao-bin, LIAO Xiu-qing (Department of Respiratory Medicine, Fuling Central Hospital, Chongqing, 408000, P.R.China,) Abstract: 【Objective 】To evaluate the effectiveness of argon plasma coagulation (APC) combined with cryosurgery in the treatment of airway obstruction for lung cancer via the flexible bronchoscope. 【Methods 】82 patients with bronchostenosis were selected, they were randomly divided into 3 groups: group Ⅰ (APC combined with cryosurgery) 30 patients; group Ⅱ(only APC) 25 patients; group Ⅲ (only cryosurgery) 27 patients. Therapy was performed via flexible bronchoscope by APC 300 equipment and K300 cryosurgery equipment for patients who suffered central airway obstructive tumor. 【Results 】Two weeks later, the proportion of complete success and partial success patients in group Ⅰw