栓塞线圈在治疗术后支气管:一个系统的审查
Xiaojuan Luo1, Ke Zhan2, Yang Bai3
1Department of Endoscopy Center, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Frontiers in medicine
|July 5, 2024
概括
栓塞线圈显示出治疗小术后支气管管 (BPF) 的前景. 这次系统审查发现80%的关闭率,表明BPF的安全,有效的支气管镜选项.
科学领域:
- 肺部医学 肺部医学
- 干预性肺病学 干预性肺病学
- 胸部外科手术 胸部外科手术
背景情况:
- 手术后的支气管肺 (BPF) 是胸部手术后的一种严重并发症.
- 目前BPF的治疗选择包括手术修复和保守管理,这可能与严重的发病率有关.
研究的目的:
- 评估栓塞线圈在术后支气管 (BPF) 治疗中的有效性和安全性.
主要方法:
- 使用PubMed,Embase和Cochrane图书馆进行了对研究的系统审查.
- 包括所有用栓塞线圈治疗的手术后BPF病例.
- 评估的主要结果是使用栓塞线圈关闭BPF的成功率.
主要成果:
- 分析了来自9项研究的20名患者.
- 栓塞线圈,通常配有密封剂,实现了80%的完整关闭率,用于手术后的BPF,尺寸为2至3.1毫米.
- 治疗失败发生在较大的 (>3毫米) 和多器官衰竭患者中. 在两个案例中报告了线圈迁移,没有显著的并发症.
结论:
- 栓塞线圈是一种潜在的安全和有效的支气管镜治疗小的手术后BPF (<3毫米).
- 需要进一步进行严格的研究,以确认栓塞线圈作为BPF手术修复的替代品的最佳作用.
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