一种用于上气管狭窄患者固定硅胶支架的新型简易外固定装置。
A novel simple external fixation for securing silicone stent in patients with upper tracheal stenosis.
作者信息
Lin Xiaoxiao, Ye Min, Li Yuping, Chen Chengshui
机构信息
Department of Pulmonary and Critical Care Medicine, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China.
出版信息
J Thorac Dis. 2018 Mar;10(3):E194-E198. doi: 10.21037/jtd.2018.01.167.
Upper tracheal stenosis is considered as a potentially life-threatening condition. Silicone stenting is an attractive treatment option for patients with upper tracheal stenosis. However, its use has been compromised by a major complication, stent migration. In the report, we introduced a novel external fixation of silicone stent which only needed one puncture site and involved a silicon chip as an anchoring device. All equipment and materials including the silicon chip were available in routine bronchoscopy suite. The method had been successfully performed in three patients with upper tracheal stenosis at our institution. And the patients were monitored for over 20 months after the intervention, and no spontaneous stent migration occurred. Therefore, we believe this is a simple and reliable approach for improving the outcome of silicone stenting in patients with upper tracheal stenosis and should be introduced in clinical practice.
气管上段狭窄被认为是一种潜在的危及生命的疾病。硅酮支架置入术是治疗气管上段狭窄患者的一种有吸引力的治疗选择。然而，其应用因一个主要并发症——支架移位而受到影响。在本报告中，我们介绍了一种新型的硅酮支架外部固定方法，该方法只需要一个穿刺点，并使用一个硅芯片作为锚定装置。包括硅芯片在内的所有设备和材料在常规支气管镜检查室均可用。该方法已在我院3例气管上段狭窄患者中成功实施。干预后对患者进行了超过20个月的监测，未发生支架自发移位。因此，我们认为这是一种简单可靠的方法，可改善气管上段狭窄患者硅酮支架置入术的效果，应引入临床实践。
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