Kawamata O, Ishizuka S, Kurozumi Y, Maruo Y, Nakashima A, Inoguchi T, Watanabe T, Kanazawa T, Aoyama M, Sato S, Nakashima A, Nabeyama A
Department of Surgery, Himeji Red Cross Hospital, Japan.
Kyobu Geka. 1998 Feb;51(2):165-7.
We report a successful case of bronchoscopic therapy using occluding spiral embolus and fibrin glue for refractory pulmonary fistula. A 22-year-old female underwent left lower lobectomy for giant bulla of the lung. Air leakage began 6 days after lobectomy. Closing alveolar fistula was performed 12 days after first operation. Relapsing air leakage began 4 days after second operation. Bronchography revealed a fistula from left B1+2c. The insertion of embolus through bronchofiberscope, following administration of fibrin glue, was performed to close the fistula. This method is effective for refractory pulmonary fistula.
我们报告了一例使用闭塞螺旋栓子和纤维蛋白胶进行支气管镜治疗难治性肺瘘的成功病例。一名22岁女性因巨大肺大疱接受了左下肺叶切除术。肺叶切除术后6天开始出现漏气。首次手术后12天进行了肺泡瘘闭合术。第二次手术后4天再次出现漏气。支气管造影显示左B1+2c有瘘口。通过纤维支气管镜插入栓子，并注入纤维蛋白胶以闭合瘘口。该方法对难治性肺瘘有效。
