现代肿瘤医学
現代腫瘤醫學
현대종류의학
JOURNAL OF MODERN ONCOLOGY
2014年
9期
2089-2090
,共2页
俞峥%游庆军%李晓林%王嘉玮
俞崢%遊慶軍%李曉林%王嘉瑋
유쟁%유경군%리효림%왕가위
肺叶切除%支气管胸膜瘘%治疗
肺葉切除%支氣管胸膜瘺%治療
폐협절제%지기관흉막루%치료
pneumonectomy%bronchopleural leakage%treatment
目的:探讨肺叶切除术后支气管胸膜瘘(bronchopleural leakage,BPL)的治疗方法。方法:回顾性分析12例肺叶切除术后支气管胸膜瘘患者的临床资料:分别采用手术瘘口修补加组织包埋、纤支镜下生物蛋白胶或支架封堵瘘口及胸腔冲洗引流等保守治疗。结果:12例支气管胸膜瘘中痊愈8例,其中6例手术、2例蛋白胶封堵;4例因呼吸衰竭死亡。结论:肺叶切除术后支气管胸膜瘘,如无脓性胸液,心肺功能良好,应早期积极手术,结合胸腔持续冲洗可获得良好效果,对于支架置入则需谨慎。
目的:探討肺葉切除術後支氣管胸膜瘺(bronchopleural leakage,BPL)的治療方法。方法:迴顧性分析12例肺葉切除術後支氣管胸膜瘺患者的臨床資料:分彆採用手術瘺口脩補加組織包埋、纖支鏡下生物蛋白膠或支架封堵瘺口及胸腔遲洗引流等保守治療。結果:12例支氣管胸膜瘺中痊愈8例,其中6例手術、2例蛋白膠封堵;4例因呼吸衰竭死亡。結論:肺葉切除術後支氣管胸膜瘺,如無膿性胸液,心肺功能良好,應早期積極手術,結閤胸腔持續遲洗可穫得良好效果,對于支架置入則需謹慎。
목적:탐토폐협절제술후지기관흉막루(bronchopleural leakage,BPL)적치료방법。방법:회고성분석12례폐협절제술후지기관흉막루환자적림상자료:분별채용수술루구수보가조직포매、섬지경하생물단백효혹지가봉도루구급흉강충세인류등보수치료。결과:12례지기관흉막루중전유8례,기중6례수술、2례단백효봉도;4례인호흡쇠갈사망。결론:폐협절제술후지기관흉막루,여무농성흉액,심폐공능량호,응조기적겁수술,결합흉강지속충세가획득량호효과,대우지가치입칙수근신。
Objective:To study the management of postoperative bronchopleural leakage (BPL).Methods:The clinical findings of 12 patients with BPL was retrospectively summarized and analyzed.Results:Of 7 cases underwent re-stapled with costal muscle flap reinforcement.2 cases were sealed off with fibrin sealant and another 2 cases were performed with stent implantation.1 case was conservative treatment.Totally 8 patients recovered completely and 4 ca-ses died due to respiratory failure.Conclusion:Reoperation is still an effective method to treat the post-operative leakage but the implantation stent should be carefully used clinically.