一体化覆膜气管支架治疗支气管胸膜瘘8例  

The application of integrated covered tracheal stent in treating bronchopleural fistula: initial experience in 8 cases

作　　者：姜永能[1] 易根发[1] 陈敏[1] 张冀云[1] 

机构地区：[1]昆明医科大学第一附属医院医学影像科,650032

出　　处：《介入放射学杂志》2016年第1期48-50,共3页Journal of Interventional Radiology

摘　　要：目的评价一体化自膨式金属覆膜气管支架在支气管胸膜瘘治疗中的应用价值。方法对8例一侧肺叶切除术后支气管胸膜瘘的患者在X线监视下行一体化自膨式金属覆膜气管支架置入术,覆膜气管支架为一体化L型或Y型一侧带膜。结果 8例支架均一次性置入成功,7例术后经胸腔冲洗后随访1年均无复发;2例脓胸行右肺全切术后支气管残端瘘支架3个月后取出,1例随访半年时支架断裂部分随咳嗽咯出,病情复发。结论一体化自膨式金属覆膜气管支架在一侧肺叶切除术后的支气管胸膜瘘治疗中是一种简便、安全、有效的治疗方法。Objective To discuss the application of integrated fully-metallic covered self-expandable tracheal stent implantation in treating bronchopleural fistula. Methods Under the fluoroscopic monitoring, implantation of integrated fully-metallic covered self-expandable tracheal stent was performed in 8 patients with bronehopleural fistula, which occurred after unilateral pulmonary lobectomy. The membrane tracheal stent was integrated L type or Y type with membrane on one side. Results Stent implantation was successfully accomplished with single procedure in all 8 patients. Postoperative pleural lavage was adopted in 7 patients, and no recurrence was observed during one year follow- up. Two patients with thoracic empyema underwent total resection of right lung, and the bronchial stump fistula stent was removed in 3 months after the surgery. One patient was followed up for half a year when the stent was broken and part of the broken stent was discharged by coughing, and the disease recurred. Conclusion For bronchopleural fistula occurring after unilateral pulmonary lobectomy, the implantation of integrated fully-metallic covered self-expandable tracheal stent is a simple, safe and effective treatment.

关 键 词：支气管胸膜瘘 气管支架 介入治疗 

分 类 号：R655.3[医药卫生—外科学]