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通过虚拟导航系统进行评估和规划,经支气管清除高风险骨性异物。

Endobronchial removal of the high-risk osseous foreign bodies with evaluation and planning by virtual navigation system.

作者信息

Huang Haidong, Seif Moaad Mohamed, Ren Jie, Shi Hui, Shen Xiaping, Wang Qing, Yang Jun, Zhang Yuan, Ning Yunye, Yang Yuguang, Zarogoulidis Paul, Tsakiridis Kosmas, Hohenforst-Schmidt Wolfgang, Turner J Francis, Michael Simoff, Li Qiang, Freitag Lutz, Fyntanidou Varvara, Kosmidis Christoforos, Romanidis Konstantinos, Oikonomou Panagoula, Sapalidis Konstantinos, Bai Chong

机构信息

Department of Respiratory & Critical Care Medicine, Changhai Hospital, The Second Military Medical University, Shanghai, China.

Department of Pulmonology, Djiboutian Military Hospital, Djibouti City, Djibouti.

出版信息

Respir Med Case Rep. 2019 Oct 18;28:100952. doi: 10.1016/j.rmcr.2019.100952. eCollection 2019.

Abstract

We report herein on two cases where high-risk osseous foreign bodies that incarcerated or penetrated the bronchial wall. The foreign bodies were unable to be removed via flexible bronchoscope (FB), with the foreign bodies close to the pulmonary artery and aortic artery. After preoperative evaluation and planning with the virtual bronchoscopic navigation (VBN) system, the airway foreign bodies were extracted effectively and safely using advanced therapeutic endoscopic technique by rigid bronchoscope (RB), thus avoiding the surgical thoracotomy.

摘要

我们在此报告两例高危骨性异物嵌顿或穿透支气管壁的病例。这些异物靠近肺动脉和主动脉,无法通过柔性支气管镜(FB)取出。在使用虚拟支气管镜导航(VBN)系统进行术前评估和规划后,通过硬质支气管镜(RB)采用先进的治疗性内镜技术有效且安全地取出了气道异物,从而避免了开胸手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96a8/6831871/6c2a6b43c46c/gr1.jpg

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