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使用改良杜蒙支架治疗支气管胸膜瘘：一例报告

Healing of bronchopleural fistula using a modified Dumon stent: a case report.

作者信息

Ferraroli Giorgio Maria, Testori Alberto, Cioffi Ugo, De Simone Matilde, Alloisio Marco, Galliera Maurizio, Ciulla Michele M, Ravasi Gianni

机构信息

Department of Thoracic Surgery, Istituto Clinico Humanitas, Rozzano (MI), Italy.

出版信息

J Cardiothorac Surg. 2006 Jun 23;1:16. doi: 10.1186/1749-8090-1-16.

DOI:10.1186/1749-8090-1-16
PMID:16796736
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1524955/
Abstract

BACKGROUND

Bronchopleural fistula following lung resection is a therapeutic challenge for thoracic surgeons.

CASE PRESENTATION

We describe a case of late bronchopleural fistula after right extrapleural pneumonectomy for malignant mesothelioma. Bronchoscopic attempts to repair it were unsuccessful.

CONCLUSION

The use of a modified Y Dumon stent associated with glue apposition on the bronchial stump allowed us to close the fistula without the need of any surgical repair.

摘要

背景

肺切除术后支气管胸膜瘘是胸外科医生面临的治疗挑战。

病例报告

我们描述了一例因恶性间皮瘤行右胸膜外全肺切除术后发生迟发性支气管胸膜瘘的病例。支气管镜下修复尝试未成功。

结论

使用改良的Y型杜蒙支架并在支气管残端涂抹胶水，使我们无需进行任何手术修复即可闭合瘘口。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e614/1524955/3e53d939e8e4/1749-8090-1-16-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e614/1524955/220e0b3ca677/1749-8090-1-16-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e614/1524955/3e53d939e8e4/1749-8090-1-16-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e614/1524955/220e0b3ca677/1749-8090-1-16-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e614/1524955/3e53d939e8e4/1749-8090-1-16-2.jpg

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本文引用的文献

1
Use of a modified Dumon stent for postoperative bronchopleural fistula.
Ann Thorac Surg. 2005 Nov;80(5):1928-30. doi: 10.1016/j.athoracsur.2004.06.035.
2
Ultraflex expandable metallic stent for the treatment of a bronchopleural fistula after pneumonectomy.用于肺切除术后支气管胸膜瘘治疗的超弹性可扩张金属支架
Ann Thorac Surg. 2005 Jan;79(1):386. doi: 10.1016/j.athoracsur.2003.12.076.
3
Modified Dumon stent for the treatment of a bronchopleural fistula after pneumonectomy.改良杜蒙支架用于肺切除术后支气管胸膜瘘的治疗。
用于治疗困难型大量咯血的改良硅胶支架：14例病例的初步研究
J Thorac Dis. 2020 Mar;12(3):956-965. doi: 10.21037/jtd.2019.12.47.
4
Treatment of airway stenosis with a customized bronchial stent using a three-dimensional printer and flexible filaments.使用三维打印机和柔性细丝定制支气管支架治疗气道狭窄
Respirol Case Rep. 2019 Sep 25;7(9):e00491. doi: 10.1002/rcr2.491. eCollection 2019 Dec.
5
Customized airway stenting for bronchopleural fistula after pulmonary resection by interventional technique: single-center study of 148 consecutive patients.介入技术定制气道支架治疗肺切除术后支气管胸膜瘘：单中心 148 例连续患者研究。
Surg Endosc. 2018 Oct;32(10):4116-4124. doi: 10.1007/s00464-018-6152-x. Epub 2018 Mar 30.
6
Bronchoscopic management of prolonged air leak.支气管镜下处理持续性漏气
J Thorac Dis. 2017 Sep;9(Suppl 10):S1034-S1046. doi: 10.21037/jtd.2017.05.47.
7
eComment. post-pneumonectomy bronchopleural fistula: covered metallic stent or Amplatzer occluder?电子评论。肺切除术后支气管胸膜瘘：覆膜金属支架还是Amplatzer封堵器？
Interact Cardiovasc Thorac Surg. 2012 Apr;14(4):423; discussion 424. doi: 10.1093/icvts/ivs062.
8
Management of postoperative bronchopleural fistula with a tracheobronchial stent in a patient requiring mechanical ventilation.在一名需要机械通气的患者中使用气管支气管支架治疗术后支气管胸膜瘘
Intensive Care Med. 2010 Apr;36(4):721-2. doi: 10.1007/s00134-010-1757-0. Epub 2010 Jan 27.
9
Omentoplasty and thoracoplasty for treating postpneumonectomy bronchopleural fistula in a patient previously submitted to aortic prosthesis implantation.网膜成形术和胸廓成形术用于治疗一名曾接受主动脉假体植入患者的肺切除术后支气管胸膜瘘。
J Cardiothorac Surg. 2009 Jul 24;4:38. doi: 10.1186/1749-8090-4-38.
Ann Thorac Surg. 2003 Jan;75(1):290-2. doi: 10.1016/s0003-4975(02)04282-0.
4
The use of a Dumon stent for the treatment of a bronchopleural fistula.使用杜蒙支架治疗支气管胸膜瘘。
Ann Thorac Surg. 2001 Jul;72(1):276-8. doi: 10.1016/s0003-4975(00)02533-9.
5
As originally published in 1994: Postoperative bronchopleural fistula: endoscopic closure in 12 patients. Updated in 2000.最初发表于1994年：术后支气管胸膜瘘：12例患者的内镜下闭合术。于2000年更新。
Ann Thorac Surg. 2000 May;69(5):1629-30. doi: 10.1016/s0003-4975(00)01339-4.