気管支異物に対するテレスコープ付き硬性内視鏡の使用経験

概要

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The rigid bronchoscope with an endoscopic telescope was introduced in our hospital 2 years ago. In the 2 years, we have performed bronchoscopy on two adults and two children for suspected bronchial foreign bodies. Foreign bodies were found in one child and two adults. In the child, the foreign body was a peanut, which could have caused severe pneumonia. Using this bronchoscope, we were able to observe the bronchi in detail and could remove the foreign body smoothly and completely. After removal of the foreign body, the ensuing pneumonia did not become serious. In the two adult cases, the foreign bodies were dental crowns that could not be removed with flexible bronchoscope in other hospitals. Using the rigid bronchoscope we could remove the foreign bodies without severe complications because of the many kinds of forceps and clear views. In our presented series we believed that this bronchoscope was more effective. This bronchoscope has not been into wide use yet, but we expect this bronchoscope to become widespread.
山口大学医学会の論文