结核后支气管狭窄支架治疗现状及进展

Present Situation and Progress of Stent Therapy for Posterior Bronchial Stenosis of Tuberculosis

摘要: 结核后支气管狭窄是气管支气管结核的主要并发症，重建气道能改善患者的预后，对于稳定期结核后支气管狭窄手术治疗的效果是肯定的，但部分患者无法耐受手术。近年来，介入呼吸病学的迅速发展为这类患者提供更多的气道重建的方案，选择非支架还是支架支气管镜下介入治疗，目前尚缺乏统一的操作规范及指导方案。本文通过总结PTBS经气道支架治疗的常用方法以及近年来新型支架的研究进展，对PTBS的气道内支架治疗的现状及进展进行综述。

Abstract: Posterior bronchial stenosis is the main complication of tracheobronchial tuberculosis. Airway re-construction can improve the prognosis of patients, and the effect of surgical treatment for stable posterior bronchial stenosis is positive, but some patients can’t tolerate surgery. In recent years, the rapid development of interventional respiration has provided more airway reconstruction schemes for these patients, and there is still a lack of unified operating norms and guiding schemes to choose non-stent or stent bronchoscopy interventional therapy. In this paper, the current situa-tion and progress of airway stent therapy for PTBS are reviewed by summarizing the common methods of airway stent therapy for PTBS and the research progress of new stents in recent years.