[非标准的长期气管支架与内置假体治疗缩]
V D Parshin1,2, E B Nikolaeva3, M A Rusakov1,4
1National Medical Research Center for Phthisiopulmonology and Infectious Diseases, Moscow, Russia.
Khirurgiia
|August 14, 2024
概括
长期使用状支架的气管支架可以导致碎片化和脱位,导致呼吸衰竭. 定期更换至关重要,因为在切除后经常发生复原,需要进一步的干预.
科学领域:
- 医学科学 医学科学 医学科学
- 肺部病理学 肺部病理学
- 胃肠病学 胃肠病学
背景情况:
- 创伤性气管狭窄症通常通过内镜再道和支架进行治疗.
- 由于没有观察到支架的使用寿命,没有明确的支架持续时间指南,导致并发症.
- 终身支架不是标准的做法,在支架被取出后,复是常见的.
研究的目的:
- 提出一个长期 (27年) 气管支架用支架支架的病例.
- 为了突出与长时间支架相关的潜在并发症.
- 讨论在支架切除后复原症的管理策略.
主要方法:
- 内镜方法与再通道化和支架放置.
- 定期对支架进行评估并对并发症进行管理.
- 内镜扩张和讨论替代治疗方法的复原.
主要成果:
- 患者经历了27年的气管支架用支架进行支架.
- 发生了支架碎片和脱位,导致呼吸衰竭和紧急移除.
- 摘除后1.5个月后出现了缩症,需要进行内镜扩张和重复插入支架.
结论:
- 长时间的支架带有支架退化,碎片化和脱位的风险.
- 支架切除后,还原症是一个很大的问题,通常需要重复干预.
- 仔细监测和及时更换支架对于管理痕气管狭窄症至关重要.
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