Treatment of severe benign central airway stenosis with laser under bronchoscope

LI Meng-yi; GONG Bei-lei; LI Wei; SHEN Yuan-bing; WU Jing; XU Yuan-yuan; ZHANG Ya-ting; CHEN Yu-qing

doi:10.16766/j.cnki.issn.1674-4152.002488

Volume 20 Issue 6

Jun. 2022

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Article Navigation > Chinese Journal of General Practice > 2022 > 20(6): 923-926

LI Meng-yi, GONG Bei-lei, LI Wei, SHEN Yuan-bing, WU Jing, XU Yuan-yuan, ZHANG Ya-ting, CHEN Yu-qing. Treatment of severe benign central airway stenosis with laser under bronchoscope[J]. Chinese Journal of General Practice, 2022, 20(6): 923-926. doi: 10.16766/j.cnki.issn.1674-4152.002488

Citation:

LI Meng-yi, GONG Bei-lei, LI Wei, SHEN Yuan-bing, WU Jing, XU Yuan-yuan, ZHANG Ya-ting, CHEN Yu-qing. Treatment of severe benign central airway stenosis with laser under bronchoscope[J]. Chinese Journal of General Practice, 2022, 20(6): 923-926. doi: 10.16766/j.cnki.issn.1674-4152.002488

Citation:

LI Meng-yi, GONG Bei-lei, LI Wei, SHEN Yuan-bing, WU Jing, XU Yuan-yuan, ZHANG Ya-ting, CHEN Yu-qing. Treatment of severe benign central airway stenosis with laser under bronchoscope[J]. Chinese Journal of General Practice, 2022, 20(6): 923-926. doi: 10.16766/j.cnki.issn.1674-4152.002488

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Treatment of severe benign central airway stenosis with laser under bronchoscope

doi: 10.16766/j.cnki.issn.1674-4152.002488

LI Meng-yi¹
, GONG Bei-lei^{1, 2, 3}
, LI Wei^{1, 2, 3}
, SHEN Yuan-bing^{1, 2, 3}
, WU Jing^{1, 2, 3}
, XU Yuan-yuan^{1, 2, 3}
, ZHANG Ya-ting¹
, CHEN Yu-qing^{1, 2, 3
,
,}

1.
Department of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

Funds:

KJ2019A0389

202004j07020010

S202010367035

Received Date: 2021-10-08
Available Online: 2022-09-21

Abstract

Abstract

Objective The aetiology of benign central airway stenosis is complex, and the treatment is challenging. This paper discusses the safety and effectiveness of laser under bronchoscope for treating severe benign hyperplasia central airway stenosis. Methods Total 23 patients with benign hyperplasia central airway stenosis treated by laser under bronchoscope in the First Affiliated Hospital of Bengbu Medical College from March 2016 to September 2021 were studied retrospectively. The improvement of airway patency and quality of life were evaluated by using the modified Medical Research Council Dyspnea Scale (mMRC) and short form 36 questionnaire (SF-36), the effectiveness of treatment was dynamically evaluated. The complications were monitored, and the safety was evaluated. Results The average age of patients was (57.43±10.85) years old, and the male-to-female ratio was 1.87 5∶ 1. Previous tracheotomy was the most common cause of stenosis (56.5%), followed by endotracheal intubation (43.5%). The symptoms of 23 patients (23/23, 100.0%) were improved, the airway was unobstructed, and the quality of life was improved. The SF-36 score [(107.02±10.72) points] was significantly higher than that before operation [(70.34±6.17) points, t=-19.877, P < 0.001], and the mMRC score decreased significantly (P < 0.001). There were no intraoperative and postoperative complications. Twenty-three patients were followed up for 1-60 months, with an average of 14.39 months and a median of 8.0 (4.0, 23.0) months. Seventeen cases (17/23, 73.9%) had re-stenosis during follow-up, of which 12 cases (12/17, 70.6%) needed interventional treatment. Conclusion Laser ablation of benign hyperplasia central airway stenosis through endoscopy is safe and effective, which shows the significant improvement of patients' respiratory function and quality of life, especially for critically ill patients.
- Laser,
- Bronchoscope,
- Benign central airway stenosis

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References

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Treatment of severe benign central airway stenosis with laser under bronchoscope

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