经支气管镜介入治疗概述ppt参考课件.ppt

* A substantial help for tumor debulking are oversized endoscopic instruments: the ?Hemer bronchoscope“ and larger forceps or excavators, newly developed in co-operation with Richard Wolf, Medical Instruments Corporation, Germany. * * once more the two steps of APC-MTR: APC via flexible bronchoscope within rigid bronchoscope tube mechanical removal of necrotic tumor tissue using large optical forceps * But can we resect even large extended bulky tumors ? We can do it: .......... I call it APC-MTR 经支气管镜介入治疗概述 * 介入性肺病学 interventional pulmonology 应用纤维支气管镜等器械进行一系列侵入性检查和治疗的技术，称为介入性肺病学技术 * 临床肺科医生 对操作感兴趣 “ 有外科倾向的内科医生 具有支气管镜专业知识 “需要专门训练 不是最好的分子生物学家 目的明确 介入肺科医生的要求 * 治疗方面 物理方法（高频电灼、激光、微波、氩气刀、冷冻等） 机械方法：球囊扩张、支架、切除肿物或摘取异物 物理化学：光动力 化学：局部化疗 其他：局部止血、填塞 * NEW TOOLS, OVERSIZED INSTRUMENTS Bronchoscope ?Hemer“ Measuring tube for intrapulmonary pressure and gas Geometrically optimized ventilation outlets ISO respiration port Graduated tube Easy to handle and lightweight design Conventional forceps Excavator XXL by Reichle * * APC-probe Argon-Plasma Tumor Tumor Necrosis * * * 球囊填塞 * 内镜治疗方法选择 腔内型肿瘤 激光 Nd:Yag激光 KTP激光 冷冻疗法 电凝术 氩气刀（APC） 射频清融 后装放疗 机械去除 光动力疗法 * 腔外型肿瘤 机械扩张 球囊扩张 支架 后装放疗 内镜治疗选择 * 混合型肿瘤 多种形态 联合治疗 内镜姑息治疗 * * A substantial help for tumor debulking are oversized endoscopic instruments: the ?Hemer bronchoscope“ and larger forceps or excavators, newly developed in co-operation with Richard Wolf, Medical Instruments Corporation, Germany. * * once more the two steps of APC-MTR: APC via flexible bronchoscope within rigid bronchoscope tube mechanical removal of necrotic tumor tissue using large optical forceps * But can we resect even large extended bulky tumors ? We can do it: .......... I call it APC-MTR