기관지 내시경적 냉동치료를 통한 중심성 기도폐쇄의 치료

류지원; 송진우; 홍상범; 오연목; 심태선; 임채만; 이상도; 고윤석; 김우성; 김동순; 최창민

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자료유형: 학술저널

저자정보: 류지원 (울산대학교 의과대학 서울아산병원 호흡기내과학교실) 송진우 (울산대학교 의과대학 서울아산병원 호흡기내과학교실) 홍상범 (울산대학교 의과대학 서울아산병원 호흡기내과학교실) 오연목 (울산대학교 의과대학 서울아산병원 호흡기내과학교실) 심태선 (울산대학교 의과대학 서울아산병원 호흡기내과학교실) 임채만 (울산대학교 의과대학 서울아산병원 호흡기내과학교실) 이상도 (울산대학교 의과대학 서울아산병원 호흡기내과학교실) 고윤석 (울산대학교 의과대학 서울아산병원 호흡기내과학교실) 김우성 (울산대학교 의과대학 서울아산병원 호흡기내과학교실) 김동순 (울산대학교 의과대학 서울아산병원 호흡기내과학교실) 최창민 (울산대학교 의과대학 서울아산병원 호흡기내과학교실)

저널정보: 대한결핵 및 호흡기학회 Tuberculosis and Respiratory Diseases 결핵 및 호흡기 질환 제68권 제1호

발행연도: 2010.1

수록면: 6 - 9 (4page)

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Background: The efficacious use of interventional bronchoscope for patients with central airway obstruction due to malignant or benign lesions has been proven. Among many therapeutic bronchoscopic procedures, endobronchial cryotherapy is an established recanalization method for the obstruction of the respiratory tract. Recently, the use of this procedure has been increasing in Korea. However, limited data are available in the literature regarding its efficacy in Korea. Methods: Thirty patients, who had been treated with a flexible cryoprobe for cryotherapy were enrolled; clinical characteristics and treatment outcomes were analyzed. The patients had been treated with the technique using nitrous oxide as a cryogen under local anesthesia. Objective outcomes were 3 different degrees of therapeutic success by use of follow-up bronchoscopic findings as follows: successful, partially successful, and unsuccessful response. Subjective outcomes were evaluated as an improvement in symptoms. Results: The mean age of enrolled patients was $59{\pm}11$ years and there was a male (22/30) dominance. Twenty-three patients had malignant tumor and 7 patients had benign lesions with central airway obstruction. Successful recanalization was achieved in 11 (37%) patients, and partially successful response was achieved in 15 (50%) patients. Dyspnea was improved in 84.2% (16/19) of patients. At least one respiratory symptom was resolved in 91.3% (21/23) patients. Seven patients (23.3%) needed additional bronchoscopic electrocautery because of the bleeding as a complication of cryotherapy. Conclusion: Endobronchial cryotherapy is an effective and less expensive procedure for the management of central airway obstruction. However, the procedure should be performed under the preparing for an emergency situation, such as massive bleeding.

#Bronchoscopy #Cryotherapy #Airway Obstruction

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