在小儿气管毛和支气管菌的治疗中，使用气球膨胀的金属支架在治疗中
- PMID：10037287
- doi：10.1001/Archotol.125.2.203
在小儿气管毛和支气管菌的治疗中，使用气球膨胀的金属支架在治疗中
抽象的
Objective:为了评估使用气球膨胀的金属支架在处理传统疗法失败的气管毛和支气管菌儿童中的治疗中。
Design:Retrospective case series.
环境：三级小儿耳鼻喉科和心胸外科转诊中心。
患者：Six patients were identified as having undergone bronchoscopic placement of metallic balloon-expandable stents between 1994 and 1997. The age at stent placement, prior surgical interventions, and indications for and sites of stent placement were noted. Also, the complications related to stent placement and the current airway status of the patients were reviewed.
干预措施：Twelve balloon-expandable metallic angioplasty stents (Palmaz; Johnson & Johnson Interventional Systems Co, Warren, NJ) were placed bronchoscopically in 6 patients. Six stents were placed in the lower trachea, and 6 were placed in the main bronchi. The stents were balloon expanded under fluoroscopic guidance.
主要结果度量：Discontinuation of mechanical ventilation.
Results:The age at stent placement ranged from 1.5 to 38 months (mean age at placement, 10 months). The indications for stent placement were (1) tracheomalacia or bronchomalacia, (2) pericardial patch or slide tracheoplasty failure, and (3) bronchomalacia caused by tetralogy of Fallot and large pulmonary arteries. The primary complication of stent placement was postoperative granulation tissue formation. One patient required the removal of 2 tracheal stents because of granulation tissue formation. There were 2 deaths in the series, 1 possibly related to stent placement. Four of the 6 patients were weaned from mechanical ventilation, and 3 experienced prolonged relief of airway obstruction.
结论：金属balloon-expandable stents are effective in relieving lower tracheomalacia and bronchomalacia in select patients. Only patients in whom conventional therapy has failed should be considered for stent placement.
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