INTERVENTIONAL BRONCHOSCOPY IN THE MANAGEMENT OF TRACHEO- BRONCHIAL LESIONS

Abstract

' The study includes thirty patients with various tracheobronchial lesions, all of which were candidates for therapeutic bronchoscopy. Table (3)

shows the diagnosis of the thirty patients, six patients (20%) with tracheal lesions, four of them(l3.3%) are of neoplastic aetiology and the other two patients (6.7%) are of non-neoplastic aetiology. The bronchial lesions are in the remaining twenty four patients (80%), seventeen of them (56.7%) are of neoplastic aetiology and the other seven cases (23.3%) are of non-neoplastic aetiology. The overall classification are twenty one patients (70%) of neoplastic aetiology and nine patients of non-neoplastic aetiology.

Sex distribution is twenty five males (83.3%) and five females (16.7%), their ages are ranging from 3 to 73 years with a mean of 40.6± 21.

The chief complaints in this study are dyspnea, haemoptysis, chest pain, coltgh, choking and dysphagia (Table 1). Both dyspnea and haemoptysis are the most common complaints, they represent together (66.6%) of the patients in this series.

Table (4) shows the procedures that were adopted in the management of the patients laser ablation were used in six patients (20%), electrocautery with contact mode in ten patients (33.3%), argon plasma coagulation in seven patients (23.3%). We used rigid bronchoscopy with laser and fiberoptic bronchoscopy with both electrocautery and argon plasma coagulation