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題 名 | 「內視鏡氣球擴張術」治療兒科氣管狹窄症=Balloon Dilation Under Flexible Fiberoptic Endoscopy in Pediatric Tracheobronchial Stenosis |
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作 者 | 宋文舉; 黃碧桃; | 書刊名 | 中華民國重症醫學雜誌 |
卷 期 | 4:3 2002.07[民91.07] |
頁 次 | 頁184-189 |
分類號 | 417.53 |
關鍵詞 | 氣球擴張術; 氣管狹窄; 軟式氣管鏡; Balloon dilatation; Flexible bronchoscopy; Tracheal stenosis; Bronchial stenosis; |
語 文 | 中文(Chinese) |
中文摘要 | 幼兒呼吸道狹窄是嚴重且後遺症頗多的急症。傳統治療方法包括:氣管造口術、狹窄切除、氣管修補再造、雷射燒灼、冷凍去除…等。近年來有些較新的技術發展,其中以"内視鏡氣球擴張術",尤其是使用軟式内視鏡的操作技術,其優點包括:設備簡單、無需全身麻醉、無需住院、操作方便、及效果快速。術後症狀可快速改善,甚至立即拔除插管,對兒童呼吸道阻塞需要緊急處理,或治療慢性氣管狹窄症是非常重要的治療技術。 |
英文摘要 | Stenosis of the tracheobronchial tree can be a life-threatening problem. Management options for symptomatic stenosis include serial dilatation, cryotherapy, laser resection, and open surgical correction. Recently, balloon angioplasty catheters have been used to dilate stenotic airway segments. Our technique, using a flexible endoscope (FE) with direct visualization of catheter placement, obviates the need for guide wires, rigid scope, and fluoroscopy as previously described. FE placement enables direct visualization of balloon position, and fine adjustments are possible if further dilatation is necessary. FE can be a successful technique for tracheobronchial stenosis and should be consider prior to attempting more invasive surgical correction. |
本系統中英文摘要資訊取自各篇刊載內容。