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儿童气道狭窄的软式支气管镜介入治疗进展
Progress on flexible bronchoscopy interventional therapy of children with airway stenosis

广西医学 页码:1140-1145

作者机构:吴上志,本科,副主任医师,研究方向为小儿呼吸系统疾病及呼吸内镜介入治疗。

基金信息:广州市科技局市校(院)联合资助项目(2023A03J0332); 广东省基础与应用基础研究基金(省企联合基金)(2021A1515220043)

DOI:10.11675/j.issn.0253⁃4304.2024.08.03

  • 中文简介
  • 英文简介
  • 参考文献

气道狭窄作为一种严重的临床病症,可显著影响患儿的呼吸功能,对婴幼儿的影响更为严重。支气管镜作为一种微创诊治工具,在儿童气道狭窄治疗领域中扮演至关重要的角色。它不仅能够准确诊断气道狭窄的病因及程度,还能够实施多种介入治疗,例如球囊扩张术、支架置入术、冷冻消融术等,可达到有效缓解狭窄、改善通气功能的目的。随着医疗技术的持续革新,支气管镜的诊疗应用范围不断拓宽,安全性也逐步增强。然而,该技术在儿科领域的实际操作过程中仍存在较多的挑战,如操作难度较大、器械适配性不足等问题。本文对软式支气管镜介入治疗技术在儿童气道狭窄中的应用情况进行总结,探讨儿童气道狭窄的综合介入策略,并从技术创新、医疗器械研发及多学科协作等方面进行展望,旨在为儿童气道狭窄的诊疗提供更加优质和高效的解决方案。

As a serious clinical disease, airway stenosis can significantly affect respiratory function of children, especially for infants. As a minimally invasive diagnostic and therapeutic tool, bronchoscopy plays a crucial role in the treatment fields of airway stenosis in children. It can not only accurately diagnose the etiology and degree of airway stenosis, but also implement a variety of interventional therapies, such as balloon dilatation, stent implantation, cryoablation, etc., which can effectively alleviate stenosis and improve ventilation function. With the continuous innovation of medical technology, the application scope of diagnosis and treatment of bronchoscopy is constantly expanding, and the safety is gradually enhanced. However, there are still many challenges in actual operation of this technique in pediatric fields, such as difficult operation and insufficient adaptation of device. This paper summarizes the application of flexible bronchoscopy interventional therapy in children with airway stenosis, discusses the comprehensive interventional strategy of children with airway stenosis, and prospects from the aspects of technical innovation, medical device research and development, and multidisciplinary collaboration, etc., so as to provide more high⁃quality and efficient solutions for the diagnosis and treatment of children with airway stenosis.

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