透视引导下的金属异物取出术:病例报告

Manish Yadav, S. Thorve, Siddharth Waghmare, Sonal Karpe, Monica Bansal, Jairaj P. Nair
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引用次数: 0

摘要

一名 24 岁女性因咳嗽和咳痰到门诊部就诊,胸部 X 光片显示其右下叶有异物(FB)。在虚拟支气管镜的帮助下,异物被定位在右下叶后段。在柔性支气管镜和透视的帮助下找到了FB,并在套管和支气管内活检钳的帮助下取出了FB。在确保临床症状稳定后,患者于第二天出院。在支气管镜下从节段和亚节段支气管取出 FB 十分困难。荧光透视允许在支气管镜下从这些相对难以进入的区域和肺部取出 FB,从而避免了开胸手术。
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Fluoroscopy-guided metallic foreign body removal: A case report
A foreign body (FB) was detected in the right lower zone on the chest X-ray of a 24-year-old woman who presented to the OPD with a cough and sputum. With the help of virtual bronchoscopy, the FB was localized in the posterior segment of the right lower lobe. It was located with the help of a flexible bronchoscope and fluoroscopy and retrieved with the help of snare and endobronchial biopsy forceps. After ensuring clinical stability, the patient was discharged the next day. Bronchoscopic FB removal from segmental and subsegmental bronchi is difficult. Fluoroscopy permits the bronchoscopic retrieval of FB from these relatively inaccessible regions and of the lung and averts the need for thoracotomy.
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