clinendoКлиническая эндоскопияFilin’s Clinical endoscopy2415-7813"Global Media technology" Ltd10.31146/2415-7813-endo-66-2-17-25clinendo-5Research ArticleПУЛЬМОНОЛОГИЯPULMONOLOGYЭндоскопические вмешательства при опухолях бронхов. Опыт клиникиEndoscopic interventions in patients with bronchial tumorshttps://orcid.org/0000-0002-3690-1316ДробязгинЕ. А.DrobyazginE. A.evgenyidrob@inbox.ruhttps://orcid.org/0000-0002-6795-6678ЧикиневЮ. В.ChikinevYu. V.noemail@neicon.ruhttps://orcid.org/0000-0003-0687-0894КрасильниковС. Э.Krasil’NikovS. E.noemail@neicon.ruhttps://orcid.org/0009-0009-6888-8353РабаевМ. Г.RabaevM. G.noemail@neicon.ruФГБОУ ВО «Новосибирский государственный медицинский университет» Минздрава России; ГБУЗ НСО «Государственная Новосибирская областная клиническая больница»Novosibirsk State Medical University Ministry of Healthcare; Novosibirsk State Regional Clinical HospitalФГБОУ ВО «Новосибирский государственный медицинский университет» Минздрава России; ФГБУ «Национальный медицинский исследовательский центр им. академика Е.Н. Мешалкина» Министерства здравоохранения Российской ФедерацииNovosibirsk State Medical University Ministry of Healthcare; Meshalkin National Research Center, Ministry of Health of Russian FederationФГБОУ ВО «Новосибирский государственный медицинский университет» Минздрава РоссииNovosibirsk State Medical University Ministry of Healthcare2024250920246621725Copyright © Дробязгин Е.А., Чикинев Ю.В., Красильников С.Э., Рабаев М.Г., 20242024Дробязгин Е.А., Чикинев Ю.В., Красильников С.Э., Рабаев М.Г.Drobyazgin E.A., Chikinev Y.V., Krasil’Nikov S.E., Rabaev M.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://clinendo.elpub.ru/jour/article/view/5

Цель. Анализ результатов эндоскопической диагностики и лечения пациентов с опухолями бронхов в одной клинике. Материал и методы. Эндоскопическая диагностика и вмешательства проведены у 56 пациентов с доброкачественными - 39 (70,7 %) и злокачественными - 17 (29,3 %) опухолями бронхов. Среди пациентов 38 мужчин и 18 женщин в возрасте от 17 до 70 лет (средний возраст пациентов 52,1 ±14,6 года). Результаты. У пациентов с доброкачественными опухолями бронхов чаще выполнялось механическое удаление или петлевая электроэксцизиия. У 10 пациентов со злокачественными опухолями выполнено стентирование для обеспечения длительного поддержания просвета бронхов. В двух случаях установлены силиконовые стенты, В восьми - металлические саморасправляющиеся стенты. Осложнений во время вмешательства и в послеоперационном периоде не было. Повторные вмешательства из-за рецидива опухоли выполнены у 3 (5,4%) пациентов. Заключение. Интервенционные вмешательства у пациентов с доброкачественными и злокачественными опухолями бронхов позволяют эффективно и относительно безопасно восстановить и поддерживать проходимости дыхательных путей. Выбор способа удаления опухоли является мультифакторым и зависит от оснащения лечебного учреждения и предпочтения врача-эндоскописта. Для поддержания проходимости бронхов у пациентов со злокачественными опухолями бронхов показано стентирование, которое позволяет избежать этапных эндоскопических вмешательств, каждое из которых может быть потенциально опасным из-за возможных осложнений.

Analysis of the results of endoscopic diagnosis and treatment of patients with bronchial tumors. Material and methods. Endoscopic diagnosis and interventions were perfomed in 56 patients with benign - 39 (70.7%) and malignant - 17 (29.3%) bronchial tumors. There were 38 men and 18 women aged from 17 to 70 years (average age of patients 52.1 ± 14.6 years). Results. In patients with benign bronchial tumors, mechanical removal or excision by using polypectomy share was more often performed. In cases malignant tumors (10 patients) stent insertion was performed to ensure long-term maintenance of the bronchial lumen. In two cases - silicone stents were inserted; in eight cases - metal self-expanding stents were inserted. There were no complications during the intervention or in the postoperative period. Repeated interventions due to tumor recurrence were performed in 3 (5.4%) patients. Conclusion. Endoscopic interventions in patients with benign and malignant bronchial tumors can effectively and relatively safely restore and maintain airway patency. The choice of tumor removal method is multifactorial. It depends on the equipment of the medical institution and the endoscopist preference. To maintain bronchial patency in patients with malignant bronchial tumors, stenting is indicated, which avoids staged endoscopic interventions, each of which can be potentially dangerous due to possible complications.

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The authors declare that there are no conflicts of interest present.