骨塞在支气管镜治疗术后支气管胸膜瘘中的应用

Annals of thoracic surgery short reports Pub Date : 2024-09-01 DOI:10.1016/j.atssr.2024.03.004

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引用次数: 0

摘要

背景支气管胸膜瘘（BPF）是一种罕见且通常难以处理的术后并发症。本病例系列描述了一种使用骨塞关闭 BPF 的支气管镜技术。方法2014 年至 2021 年期间，亨利福特医院为 6 名非小细胞肺癌根治性肺切除术后出现 BPF 的患者进行了支气管镜下定制骨塞置入术。结果所有 6 名患者在骨塞置入术后 BPF 都得到初步缓解。6 名患者中有 4 名（66.7%）为住院患者，胸膜腔感染严重，需要进行胸管引流；所有患者的临床症状均有所改善，持续性漏气得到缓解，从而拔除了胸管。结论支气管内放置定制的骨塞是治疗术后 BPF 的一种选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Bone Plug in the Bronchoscopic Management of Postoperative Bronchopleural Fistulas

Background

Bronchopleural fistula (BPF) is a rare and often difficult postoperative complication to manage. This case series describes a bronchoscopic technique using a bone plug for closure of BPFs.

Methods

Six patients at Henry Ford Hospital from 2014 to 2021, who had a postoperative BPF after lung resection with curative intent for non-small cell lung cancer, underwent bronchoscopic placement of a customized bone plug.

Results

All 6 patients experienced initial resolution of the BPF after bone plug placement. Four of the 6 (66.7%) patients were inpatients, with severe pleural space infections requiring chest tube drainage; all patients clinically improved with resolution of persistent air leaks resulting in chest tube removal. Two of the 6 (33.3%) patients had BPF recurrence within 2 months, and 2 of the /6 (33.3%) patients also eventually required additional surgical repair.