Department of Respiratory and Critical Care Medicine, Peking University First Hospital, Beijing, China.
Department of Respiratory and Critical Care Medicine, Peking University First Hospital, Beijing, China,
Respiration. 2020;99(9):784-788. doi: 10.1159/000509609. Epub 2020 Nov 18.
Surgical intervention is occasionally required for the treatment of pleural empyema. Semirigid thoracoscopy is a safe and successful surgical approach utilized by interventional pulmonologists, conventionally utilizing flexible forceps and suction as the main tools, but they can sometimes be inefficient for more complicated cases. In debriding a case of multiloculated empyema with semirigid thoracoscopy, we report the novel use of cryotherapy in clearing adhesions from the pleural cavity. We found using the cryoprobe to be more efficient than using forceps and suggest further investigation into its use in medical thoracoscopy.
对于脓胸的治疗，有时需要进行外科干预。介入性肺病学家采用半刚性胸腔镜是一种安全且成功的手术方法，通常使用灵活的钳子和吸力作为主要工具，但对于更复杂的病例，它们有时效率不高。在使用半刚性胸腔镜对多房性脓胸进行清创时，我们报告了冷冻疗法在清除胸腔粘连方面的新应用。我们发现使用冷冻探针比使用钳子更有效，并建议进一步研究其在胸腔镜检查中的应用。
