Clinical analysis on flexible bronchoscopy intervention therapy in 18 children with primary tracheobronchial tumors
10.3760/cma.j.cn101070-20190828-00815
- VernacularTitle:可弯曲支气管镜介入诊疗儿童原发气管、支气管肿瘤18例临床分析
- Author:
Chao WANG
1
;
Shaochao WANG
;
Shuaishuai LIU
;
Lei WANG
;
Juan LI
;
Jinshan JI
;
Chen MENG
Author Information
1. 山东大学齐鲁儿童医院呼吸介入科，济南 250022
- From:
Chinese Journal of Applied Clinical Pediatrics
2020;35(21):1643-1647
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the clinical data of 18 children with primary tracheobronchial tumors, and to investigate the safety and effectiveness of bronchoscopy intervention therapy.Methods:The clinical features, signs, imaging and bronchoscope characteristics, pathology types, endoscopy intervention therapy methods, and outcomes of 18 patients with primary tracheobronchial tumors treated in Qilu Children′s Hospital of Shandong University from January 2013 to August 2019 were retrospectively analyzed.Results:The patients aged from 2 years old to 12 years old, and the ratio of male and female was 1.71∶1.There were 8 cases of mucoepidermoid carcinoma, 7 cases of inflammatory myofibroblastoma, 1 case of infant fibrosarcoma, 1 case of intermediate vascular tumor, and 1 case of acinar cell carcinoma.All 18 patients received the biopsy under general anesthesia to determine the pathological type of tumor and underwent the interventional therapy to relieve airway obstruction.No complications such as massive bleeding, pneumothorax, and mediastinal emphysema were observed during and after operation.The endoscope examination was applied to assess the curative effect 1 week after the surgery, complete response 17 case, inefficiency 1 case, and the overall effective rate was 94%.Conclusions:It is safe and reliable to treat primary tracheobronchial tumor by bronchoscopy intervention therapy, which can be used as a palliative treatment and create conditions for further radical operation.It may even become a radical cure for tracheobronchial tumors.
