心包脂肪填充法治疗难治性继发性自发性气胸
Pericardial Fat Filling Method for Intractable Secondary Spontaneous Pneumothorax.
作者信息
Takamori Satoshi, Nakatsuka Marina, Endo Makoto
机构信息
Department of General Thoracic Surgery, Yamagata Prefectural Central Hospital, Yamagata, Japan.
Department of Surgery II, Faculty of Medicine, Yamagata University, Yamagata, Japan.
出版信息
Asian J Endosc Surg. 2025 Jan-Dec;18(1):e70109. doi: 10.1111/ases.70109.
The treatment of intractable secondary spontaneous pneumothorax is challenging. A 74-year-old man with combined pulmonary fibrosis and emphysema developed a left secondary pneumothorax. The perforated bullae were ligated during the first surgery; however, the pneumothorax recurred. During the second surgery, the pulmonary fistula was filled with pericardial fat, and the fistula was sutured closed using a pericardial fat pad. No air leakage or recurrence was observed postoperatively. This novel method may effectively seal pulmonary fistulas causing intractable secondary spontaneous pneumothorax.
难治性继发性自发性气胸的治疗具有挑战性。一名74岁患有肺纤维化合并肺气肿的男性发生了左侧继发性气胸。在第一次手术中对穿孔的肺大疱进行了结扎；然而，气胸复发。在第二次手术中，用心包脂肪填充肺瘘，并用心包脂肪垫缝合关闭瘘口。术后未观察到漏气或复发情况。这种新方法可能有效地封闭导致难治性继发性自发性气胸的肺瘘。
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