摘要
目的:探讨肺叶切除术后支气管胸膜瘘(bronchopleural leakage,BPL)的治疗方法。方法:回顾性分析12例肺叶切除术后支气管胸膜瘘患者的临床资料:分别采用手术瘘口修补加组织包埋、纤支镜下生物蛋白胶或支架封堵瘘口及胸腔冲洗引流等保守治疗。结果:12例支气管胸膜瘘中痊愈8例,其中6例手术、2例蛋白胶封堵;4例因呼吸衰竭死亡。结论:肺叶切除术后支气管胸膜瘘,如无脓性胸液,心肺功能良好,应早期积极手术,结合胸腔持续冲洗可获得良好效果,对于支架置入则需谨慎。
Objective:To study the management of postoperative bronchopleural leakage (BPL).Methods:The clinical findings of 12 patients with BPL was retrospectively summarized and analyzed.Results:Of 7 cases underwent re-stapled with costal muscle flap reinforcement.2 cases were sealed off with fibrin sealant and another 2 cases were performed with stent implantation.1 case was conservative treatment.Totally 8 patients recovered completely and 4 ca-ses died due to respiratory failure.Conclusion:Reoperation is still an effective method to treat the post-operative leakage but the implantation stent should be carefully used clinically.
出处
《现代肿瘤医学》
CAS
2014年第9期2089-2090,共2页
Journal of Modern Oncology
关键词
肺叶切除
支气管胸膜瘘
治疗
pneumonectomy
bronchopleural leakage
treatment
