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COVID-19 后支气管胸膜瘘的 CT 扫描引导下经皮氰基丙烯酸酯胶注射成功封堵:病例系列。

Successful Sealing of Post-COVID-19 Bronchopleural Fistula with Computed Tomography Scan-Guided Percutaneous Cyanoacrylate Glue Injection: A Case Series.

机构信息

Department of Radiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

Department of Internal Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Iran J Med Sci. 2024 Feb 1;49(2):130-133. doi: 10.30476/IJMS.2023.97068.2872. eCollection 2024 Feb.

Abstract

Bronchopleural fistula (BPF), a sinus tract between the bronchial system and the pleural space, is associated with COVID-19 and can lead to pneumothorax, which increases the mortality rate. Due to the analytical status of COVID-19 patients, sealing the BPF necessitates the least minimal invasive treatment. Herein, we demonstrated a technique of sealing post-COVID-19 BPF with direct injection of cyanoacrylate glue under the guidance of a computed tomography scan. Following glue injection, the BPF was completely sealed in all four patients. In conclusion, in COVID-19 patients with small and distal BPF, percutaneous glue injection is recommended for BPF closure.

摘要

支气管胸膜瘘(BPF)是支气管系统和胸膜腔之间的窦道,与 COVID-19 相关,并可导致气胸,从而增加死亡率。由于 COVID-19 患者的分析状况,用最小侵入性治疗方法来封闭 BPF 是必要的。在此,我们展示了一种在 CT 扫描引导下直接注射氰基丙烯酸酯胶来封闭 COVID-19 后 BPF 的技术。在胶注射后,所有 4 名患者的 BPF 均完全封闭。总之,对于小而远端的 BPF 的 COVID-19 患者,建议经皮注射胶封闭 BPF。

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