Department of Interventional Radiology, Institut Bergonié, Regional Cancer Center, 229 cours de l'Argonne, 33076 Bordeaux Cedex, France.
Cardiovasc Intervent Radiol. 2011 Feb;34 Suppl 2:S171-4. doi: 10.1007/s00270-010-9826-x. Epub 2010 Mar 16.
The present article describes two cases of bronchopleural fistula (BPF) occurring after radiofrequency ablation of lung tumors. Both procedures were carried out using expandable multitined electrodes, with no coagulation of the needle track. After both ablations, ground-glass opacities encompassed the nodules and abutted the visceral pleura. The first patient had a delayed pneumothorax, and the second had a recurrent pneumothorax. Both cases of BPF were diagnosed on follow-up computed tomography chest scans (i.e., visibility of a distinct channel between the lung or a peripheral bronchus and the pleura) and were successfully treated with chest tubes alone. Our goal is to highlight the fact that BPF can occur without needle-track coagulation and to suggest that minimally invasive treatment is sufficient to cure BPFs of this specific origin.
本文描述了两例射频消融肺肿瘤后发生的支气管胸膜瘘（BPF）。两次手术均使用可扩张多齿电极进行，针道未进行电凝。两次消融后，磨玻璃影包绕结节并与脏层胸膜相邻。第一例患者出现迟发性气胸，第二例患者出现复发性气胸。这两例 BPF 均通过随访胸部 CT 扫描确诊（即，可见肺部或外周支气管与胸膜之间有明显通道），仅通过胸腔引流管即可成功治疗。我们的目标是强调 BPF 可在无针道电凝的情况下发生，并提示微创治疗足以治愈这种特定来源的 BPF。
