支气管胸膜瘘用纤维素补片和纤维蛋白胶封闭。

Bronchopleural fistula closed with cellulose patch and fibrin glue.

作者信息

Fiorelli Alfonso, Frongillo Elisabetta, Santini Mario

机构信息

Thoracic Surgery Unit, Second University of Naples, Naples, Italy.

Thoracic Surgery Unit, Second University of Naples, Naples, Italy

出版信息

Asian Cardiovasc Thorac Ann. 2015 Sep;23(7):880-3. doi: 10.1177/0218492315577725. Epub 2015 Mar 19.

DOI:10.1177/0218492315577725

PMID:25795683

Abstract

We describe a bronchoscopic technique for closing small postoperative bronchopleural fistulas, using an oxidized regenerated cellulose patch and fibrin glue. The patch is mounted on the end of endoscopic forceps and introduced into the fistula to cover it. Intracavitary and submucosal injections of fibrin glue fill the bronchial stump and achieve apposition of the fistula edges. Closure was obtained in 3 of 4 patients; the 4th had complete bronchial dehiscence and empyema.

摘要

我们描述了一种使用氧化再生纤维素贴片和纤维蛋白胶来闭合术后小支气管胸膜瘘的支气管镜技术。将贴片安装在内镜钳的末端，然后引入瘘口以覆盖它。在支气管残端进行腔内和黏膜下注射纤维蛋白胶，使瘘口边缘贴合。4例患者中有3例实现了闭合；第4例出现了完全性支气管裂开和脓胸。