在患有肺切除术后综合征的患者中,通过气管口腔通过硬式支气管镜放置片支架
Kazuto Sugai1, Naohiro Kobayashi2, Yusuke Saeki2
1Department of General Thoracic Surgery, University of Tsukuba Hospital, 2-1-1 Amakubo, Tsukuba, 305-8576, Ibaraki, Japan. toro257@yahoo.co.jp.
General Thoracic and Cardiovascular Surgery Cases
|November 9, 2024
概括
本案例报告展示了成功安置状支架用于呼吸道狭窄症,使用通过气管支架插入的刚性支气管镜. 这种替代方法克服了严重的气道曲线带来的挑战,为复杂的病例提供了可行的选择.
科学领域:
- 肺部病理学 肺部病理学
- 干预性支气管镜检查是一种干预性支气管镜检查.
背景情况:
- 气道狭窄和阻塞通常需要安置片支架.
- 通常使用刚性支气管镜检查,但由于呼吸道解剖学,技术上可能具有挑战性.
- 肺切除术后综合征可能导致复杂的呼吸道问题,需要进行干预.
研究的目的:
- 报告在患有肺切除后综合征的患者中成功安置了针对气道狭窄的干支架.
- 要突出一种通过气管口腔切口插入刚性支气管镜的替代方法.
主要方法:
- 一位患有长期气管切除术后肺切除综合征的患者呈现了气道狭窄和颗粒瘤.
- 通过口腔进行刚性支气管检查的初步尝试由于严重的气道曲而失败.
- 支气管镜通过气管口成功插入,允许插入支架.
主要成果:
- 通过通过气管支架插入的刚性支气管镜成功实现了片支架的放置.
- 这种方法使人能够轻松地进入左侧的二次心脏,尽管有明显的气道曲.
- 患者经历了呼吸困难和的缓解.
结论:
- 通过气管支架体进行刚性支气管镜检查是一种可行的替代方案,用于在严重的气道曲线的情况下放置片支架.
- 这种技术可以克服在复杂的肺切除术后综合征患者口服插入时遇到的局限性.
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