治疗性介入呼吸病技术的新领域——气管T管的临床应用

doi:10.6040/j.issn.1671-7554.0.2017.165

山东大学学报（医学版） ›› 2017, Vol. 55 ›› Issue (4): 23-29.doi: 10.6040/j.issn.1671-7554.0.2017.165

治疗性介入呼吸病技术的新领域——气管T管的临床应用

黄海东¹,郑贵亮²,王琴¹,杨宇光³,李强⁴,白冲¹

1.第二军医大学长海医院呼吸与危重症医学科, 上海 200433;2.第二军医大学长海医院耳鼻喉科, 上海 200433;3.第二军医大学长海医院麻醉科, 上海 200433;4.上海交通大学附属第一人民医院呼吸内科, 上海 200080

收稿日期:2017-02-23 出版日期:2017-04-10 发布日期:2017-04-10
通讯作者: 白冲. E-mail:bai_chong@163.com E-mail:bai_chong@163.com
基金资助:
吴阶平医学基金(320675011112);第二军医大学长海医院首批医疗新技术培育项目(NT201506)

A new field of therapeutic interventional pulmonology——clinical application of tracheal T tube

HUANG Haidong¹, ZHENG Guiliang², WANG Qin¹, YANG Yuguang³, LI Qiang⁴, BAI Chong¹

1. Department of Respiratory and Critical Care Medicine, Changhai Hospital, The Second Military Medical University, Shanghai 200433, China;
2. Department of Otorhinolaryngology, Changhai Hospital, The Second Military Medical University, Shanghai 200433, China;
〓山〓东〓大〓学〓学〓报〓(医〓学〓版)55卷4期〓-黄海东, 等.治疗性介入呼吸病技术的新领域——气管T管的临床应用〓\=-3. Department of Anesthesiology, Changhai Hospital, The Second Military Medical University, Shanghai 200433, China;
4. Department of Respiratory Medicine, Shanghai General Hospital, Shanghai Jiaotong University, Shanghai 200080, China

Received:2017-02-23 Online:2017-04-10 Published:2017-04-10

摘要/Abstract

摘要： 随着硬质支气管镜及介入呼吸病技术在我国的蓬勃发展,从事介入呼吸病专业的呼吸科医生已具备了通过硬镜下开展气管T管置入术治疗气管上段狭窄的条件。与传统的外科法气管T管置入术相比,硬镜下气管T管置入术具有一定的微创优势,但鉴于喉及声门下气管区域狭窄的复杂性,一种技术仍然无法解决所有的临床问题,了解两种技术的区别、选择恰当的治疗方案及严格掌握T管置入适应证,才能最终减少手术并发症,为病患提供最佳疗效。

关键词: Montgomery T管, 狭窄, 治疗, 气管, 介入呼吸病, 硬质支气管镜, 软化

Abstract: With the rapid development of rigid bronchoscopy and interventional pulmonology in China, Chinese pulmonologists who are engaged in the practice of interventional pulmonology now have the conditions of tracheal T tube placement by rigid bronchoscope technique for the treatment of proximal tracheal stenosis. The tracheal T tube placement by rigid bronchoscope technique has a certain minimally invasive advantage compared to that by traditional surgery technique. However, all the clinical problems usually can not be solved by a single technique due to the complex situations of laryngotracheal stenosis. Better clinical results and low complications for laryngotracheal stenosis are related to the understanding of the difference between two techniques, developing multidisciplinary treatment approaches and strictly controlling of the indications of tracheal T tube placement.

Key words: Trachea, Malacia, Montgomery T tube, Rigid bronchoscope, Stenosis, Therapy, Interventional pulmonology

中图分类号:

R608

黄海东,郑贵亮,王琴,杨宇光,李强,白冲. 治疗性介入呼吸病技术的新领域——气管T管的临床应用[J]. 山东大学学报（医学版）, 2017, 55(4): 23-29.

HUANG Haidong, ZHENG Guiliang, WANG Qin, YANG Yuguang, LI Qiang, BAI Chong. A new field of therapeutic interventional pulmonology——clinical application of tracheal T tube[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(4): 23-29.

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治疗性介入呼吸病技术的新领域——气管T管的临床应用

A new field of therapeutic interventional pulmonology——clinical application of tracheal T tube

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