经纤支镜诊治气管腺样囊性癌8例报告.pdfVIP

第22卷 第6期 内蒙古民族大学学报(自然科学版) V01．22 NO．6 2007年 12月 Joumal of Inner Mongolia University for Nationalities Dec．20o7 经纤支镜诊治气管腺样囊性癌8例报告 白 梅 ，马凌云2，韩忠发3 (1．解放军第253医院呼吸内科，内蒙古呼和浩特 010051；2．上海长海医院呼吸内科，上海 200433； 3．木里图中心卫生院，内蒙古木里图 028024) [摘 要]目的：探讨纤支镜诊治气管腺样囊性癌．方法：纤支镜检查病理确诊腺样囊性癌。予高频电刀切割、后 装放疗、支架植入．结果：4例病灶离隆突小于2cm，管腔阻塞明显，给予高频电刀切割、后装放疗、支架植入；2 例声门下结节状新生物，管腔明显狭窄，予后装放疗后支架植入．2例气管上段腺样囊性癌，一般情况好，转外 科手术治疗；结论：纤支镜诊治气管腺样囊性癌有良好效果． [关键词]气管腺样囊性；纤维支气管镜；诊治 [中围分类号}R734．1 [文献标识码]A [文章编号)1671—0185(2007)06—0662—03 Diagnosis and Treatment of 8 Cases of Adenoid Cystic Carcinoma of Trachea via Fiberbronchoscope BAI Mei ，MA Ling-yun2，HAN Zhong—fa3 (1．253 Hospital of PLA，Huhehot 010051，China；2．Shang Hal Changhal Hospital，Shanghai 200433，China； 3．Mulitu central Health Centre，Mulitu 028024。China) Abstract：Objective：To discuss the value of fiberbronchoscope(FB)in diagnosing and treating adenoid cystic carcinoma of trachea．Methods：The diagnosis of this carcinoma WSS confirmed bv the pathological examination of the sam ples resected with FB and it Was treated with resection via high frequency electric knife，radiotherapy and stent implantation．Results：4 CaSes with the dis— tance between the focus and carina lass than 2cm and severely obstructed lumen．were treated with resection via high frequency electric knife，radiotherapy and stent implantation．2 Cases shown a8 subglottic nodous neoplasm and narrow lumen，were treated with radiotherapy and stent implanta— tion．2 Cases diagnosed as the carcinoma of upper trachea and with good conditions were treated with operation．Conclusion：This method for diagnosing and treating adenoid cystic carcinoma of