应用室间隔缺损封堵器治疗术后支气管胸膜瘘的临床疗效评价  

Clinical evaluation of ventricular septal defect occlusion device for the treatment of postoperative bronchopleural fistula

作　　者：程超 胡淑慧 吕莉萍 徐凌 唐飞 Cheng Chao;Hu Shuhui;Lyu Liping;Xu Ling;Tang Fei(Department of Interventional Pulmonology,Anhui Chest Hospital,Hefei 230022,China)

机构地区：[1]安徽省胸科医院介入肺脏病科,合肥230022

出　　处：《中华结核和呼吸杂志》2023年第9期921-924,共4页Chinese Journal of Tuberculosis and Respiratory Diseases

摘　　要：支气管胸膜瘘是指由于各种病因导致的支气管和胸腔之间形成的异常窦道,多见于胸外科术后,患者常合并严重肺部及胸腔感染,从而影响患者的生活质量及生存率。该类患者多不具备二次手术时机,因此支气管胸膜瘘成为临床工作中的棘手问题。本文通过回顾性分析9例安徽省胸科医院收治的术后支气管胸膜瘘患者的临床资料,分析并总结应用室间隔缺损封堵器成功治疗术后支气管胸膜瘘的临床经验,为术后支气管胸膜瘘的治疗提供一种潜在有效的治疗方式。Bronchopleural fistula is an abnormal sinus tract that forms between the bronchus and the thoracic cavity.It is most commonly caused by thoracic surgery.Patients often have severe pulmonary and thoracic infections,which seriously affect the quality of life and survival rate.Most of these patients do not have a second operation chance,so the bronchopleural fistula becomes a thorny problem in the clinical practice.The clinical data of 9 patients with postoperative bronchopleural fistula admitted to Anhui Provincial Chest Hospital were reviewed and analyzed.We analyzed and summarized the clinical experience of successful occlusion with a ventricular septal defect(VSD)device,which provided a potentially effective treatment for postoperative bronchopleural fistula.

关 键 词：支气管胸膜瘘 胸外科术后 胸腔感染 临床疗效评价 室间隔缺损封堵器 二次手术 临床资料 窦道 

分 类 号：R562.2[医药卫生—呼吸系统]