支气管镜下经支气管内注入胶水（氰基丙烯酸正丁酯）治疗支气管胸膜瘘
Bronchoscopic management of bronchopleural fistula with intrabronchial instillation of glue (N-butyl cyanoacrylate).
作者信息
Chawla Rakesh K, Madan Arun, Bhardwaj P K, Chawla Kiran
机构信息
Department of Respiratory Medicine, Critical Care and Sleep Disorders, Jaipur Golden Hospital, Rohini, Delhi, India.
出版信息
Lung India. 2012 Jan;29(1):11-4. doi: 10.4103/0970-2113.92350.
CONTEXT
Bronchopleural fistula (BPF) is a communication between the pleural space and bronchial tree.
MATERIALS AND METHODS
A series of 9 cases are reported where BPF was identified and managed with intrabronchial instillation of glue (N-butyl-cyanoacrylate) through a video bronchoscope.
RESULTS
Out of 9 patients the BPF was successfully sealed in 8 cases (88.88%). In 1 patient of postpneumonectomy, the fistula was big, that is >8 mm who had a recurrence after the procedure. In one case of pyopneumothorax the leak reduced slowly and it took us 14 days to remove the intercostal drainage tube. Rest of the patients had a favorable outcome. No complications were observed in a follow-up of 6 months.
CONCLUSIONS
In our opinion, it is a cost-effective, viable, and safe alternative compared with costly, time-consuming, and high-risk surgical procedures.
背景
支气管胸膜瘘（BPF）是胸膜腔与支气管树之间的一种连通。
材料与方法
报告了一系列9例经视频支气管镜向支气管内注入胶水（N-丁基-氰基丙烯酸酯）来识别和处理支气管胸膜瘘的病例。
结果
9例患者中，8例（88.88%）支气管胸膜瘘成功封闭。在1例肺切除术后患者中，瘘口较大，即>8mm，术后复发。在1例脓气胸患者中，漏液减少缓慢，我们用了14天时间才拔除肋间引流管。其余患者预后良好。随访6个月未观察到并发症。
结论
我们认为，与昂贵、耗时且高风险的外科手术相比，这是一种经济有效、可行且安全的替代方法。
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