Scarring Airway Stenosis in Chinese Adults: Characteristics and Interventional Bronchoscopy Treatment

Background: Scarring airway stenosis is commonly seen in China as compared to other developed countries, due to the high prevalence of tuberculosis. Nowadays, interventional bronchoscopy treatment has been widely used to treat this disease in China. This study demonstrated the characteristics of sca...

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Main Authors: Ting Wang, Jie Zhang, Xiao-Jian Qiu, Juan Wang, Ying-Hua Pei, Yu-Ling Wang
Format: Article
Language:English
Published: Wolters Kluwer 2018-01-01
Series:Chinese Medical Journal
Subjects:
Online Access:http://www.cmj.org/article.asp?issn=0366-6999;year=2018;volume=131;issue=3;spage=276;epage=281;aulast=Wang
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author Ting Wang
Jie Zhang
Xiao-Jian Qiu
Juan Wang
Ying-Hua Pei
Yu-Ling Wang
author_facet Ting Wang
Jie Zhang
Xiao-Jian Qiu
Juan Wang
Ying-Hua Pei
Yu-Ling Wang
author_sort Ting Wang
collection DOAJ
description Background: Scarring airway stenosis is commonly seen in China as compared to other developed countries, due to the high prevalence of tuberculosis. Nowadays, interventional bronchoscopy treatment has been widely used to treat this disease in China. This study demonstrated the characteristics of scarring airway stenosis in Chinese adults and retrospectively evaluated the efficacy of interventional bronchoscopy treatment of this disease. Methods: Patients with scarring airway stenosis from 18 tertiary hospitals were enrolled between January 2013 and June 2016. The causes, site, and length of scarring airway stenosis were analyzed, and the efficacy of the interventional bronchoscopy treatment was evaluated. Results: The final study cohort consisted of 392 patients. Endotracheobronchial tuberculosis (EBTB) was the most common cause of scarring airway stenosis (305/392, 77.8%) in Chinese adults with a high rate of incidence in young women. The left main bronchus was most susceptible to EBTB, and most posttuberculosis airway scarring stenosis length was 1.1–2.0 cm. The average clinical success rate of interventional bronchoscopy treatment for scarring airway stenosis in Chinese patients is 60.5%. The stent was inserted in 8.7% scarring airway stenosis in China. Conclusions: Scarring airway stenosis exhibits specific characteristics in Chinese patients. Interventional bronchoscopy is a useful and safe treatment method for the disease.
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spelling doaj.art-b86ac57c78d7460b91b08cc27097f2892022-12-21T17:31:50ZengWolters KluwerChinese Medical Journal0366-69992018-01-01131327628110.4103/0366-6999.223850Scarring Airway Stenosis in Chinese Adults: Characteristics and Interventional Bronchoscopy TreatmentTing WangJie ZhangXiao-Jian QiuJuan WangYing-Hua PeiYu-Ling WangBackground: Scarring airway stenosis is commonly seen in China as compared to other developed countries, due to the high prevalence of tuberculosis. Nowadays, interventional bronchoscopy treatment has been widely used to treat this disease in China. This study demonstrated the characteristics of scarring airway stenosis in Chinese adults and retrospectively evaluated the efficacy of interventional bronchoscopy treatment of this disease. Methods: Patients with scarring airway stenosis from 18 tertiary hospitals were enrolled between January 2013 and June 2016. The causes, site, and length of scarring airway stenosis were analyzed, and the efficacy of the interventional bronchoscopy treatment was evaluated. Results: The final study cohort consisted of 392 patients. Endotracheobronchial tuberculosis (EBTB) was the most common cause of scarring airway stenosis (305/392, 77.8%) in Chinese adults with a high rate of incidence in young women. The left main bronchus was most susceptible to EBTB, and most posttuberculosis airway scarring stenosis length was 1.1–2.0 cm. The average clinical success rate of interventional bronchoscopy treatment for scarring airway stenosis in Chinese patients is 60.5%. The stent was inserted in 8.7% scarring airway stenosis in China. Conclusions: Scarring airway stenosis exhibits specific characteristics in Chinese patients. Interventional bronchoscopy is a useful and safe treatment method for the disease.http://www.cmj.org/article.asp?issn=0366-6999;year=2018;volume=131;issue=3;spage=276;epage=281;aulast=WangAdults; Airway Stenosis; Bronchoscopy; Endotracheobronchial Tuberculosis; Stents
spellingShingle Ting Wang
Jie Zhang
Xiao-Jian Qiu
Juan Wang
Ying-Hua Pei
Yu-Ling Wang
Scarring Airway Stenosis in Chinese Adults: Characteristics and Interventional Bronchoscopy Treatment
Chinese Medical Journal
Adults; Airway Stenosis; Bronchoscopy; Endotracheobronchial Tuberculosis; Stents
title Scarring Airway Stenosis in Chinese Adults: Characteristics and Interventional Bronchoscopy Treatment
title_full Scarring Airway Stenosis in Chinese Adults: Characteristics and Interventional Bronchoscopy Treatment
title_fullStr Scarring Airway Stenosis in Chinese Adults: Characteristics and Interventional Bronchoscopy Treatment
title_full_unstemmed Scarring Airway Stenosis in Chinese Adults: Characteristics and Interventional Bronchoscopy Treatment
title_short Scarring Airway Stenosis in Chinese Adults: Characteristics and Interventional Bronchoscopy Treatment
title_sort scarring airway stenosis in chinese adults characteristics and interventional bronchoscopy treatment
topic Adults; Airway Stenosis; Bronchoscopy; Endotracheobronchial Tuberculosis; Stents
url http://www.cmj.org/article.asp?issn=0366-6999;year=2018;volume=131;issue=3;spage=276;epage=281;aulast=Wang
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AT xiaojianqiu scarringairwaystenosisinchineseadultscharacteristicsandinterventionalbronchoscopytreatment
AT juanwang scarringairwaystenosisinchineseadultscharacteristicsandinterventionalbronchoscopytreatment
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