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《China Journal of Endoscopy》 2010-01
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Results of fiberoptic bronchoscopic balloon dilatation in the management of benign tracheobronchial stenosis

ZHANG Hai-wang, WANG Guo-an, WU Hong-cheng, SHEN Shi-mo, ZHANG Yan (Department of Respiratory Diseases, Ningbo Medical Treatment Center Lihuili Hostpial, Ningbo, Zhejiang 315041, P.R.China)  
【Objective】To assess the effect and safety of balloon dilation using a fiberoptic bronchoscope in the management of benign tracheobronchial stenosis under local anesthesia.【Methods】Balloon dilation was performed via flexible bronchoscope in 30 consecutive patients with benign tracheobronchial stenosis. Under direct visualization, a balloon catheter was inserted into the stenotic segment from the working channel and positioned across the stenosis, the balloon was inflated. We reviewed patient records and bronchoscopic findings. Clinical data, techniques performed, improvements of pulmonary function data, complications and results were recorded. 【Results】All patients had initial success: increased airway dimensions and symptom relief. The average airway diameter, dyspnea classification and pulmonary function were all improved. After following for 4~53 months (29.1 ± 10.4) months, 24 patients (80.0%) kept airway patency. There were no clinically significant complications. 【Conclusion】Fiberoptic bronchoscopic balloon dilation under local anesthesia is a rapid, safe and effective method to treat benign stenosis.
【CateGory Index】: R562
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