Jacobi C A, Reichert V, Schmitz-Rixen T
Chirurgische Universitätsklinik Köln.
Chirurg. 1994 Mar;65(3):220-2.
The common therapy of a persistent bronchocutaneous fistula is the operative endoscopic repair of the leak, the parietal pleurectomy or the endoscopic pleurodesis with different agents. Therefore the thoracotomy with all the risks for the patient can be avoid. Complications seen in the thoracoscopic treatment are low and often the result of techniqual problems. However there must be an alternative therapy for patients with a high operational risk. In our case we treated a bronchocutaneous persistent fistula by the instillation of iodized talc effectively. Although talc and others agents are used in the therapy of malignant pleural effusions, the talc poudrage in the therapy of bronchocutaneous fistulas is a good alternative treatment for patients in a bad condition.
持续性支气管皮肤瘘的常见治疗方法是通过手术进行内镜下瘘口修复、壁层胸膜切除术或使用不同药物进行内镜下胸膜固定术。因此，可以避免开胸手术给患者带来的所有风险。胸腔镜治疗中出现的并发症较少，且往往是技术问题导致的。然而，对于手术风险高的患者，必须有替代治疗方法。在我们的病例中，我们通过注入碘化滑石粉有效地治疗了一例持续性支气管皮肤瘘。虽然滑石粉和其他药物用于恶性胸腔积液的治疗，但滑石粉喷洒在支气管皮肤瘘的治疗中对于病情较差的患者是一种很好的替代治疗方法。
