胸切除术后的纤维素粘合剂肺瘤治疗持续的空气泄漏:一个案例研究
Kent W Sabatose1, Chrisopher Rodriguez2, C Jake Lambert2
1Neurological Surgery, Lake Erie College of Osteopathic Medicine, Bradenton, USA.
Cureus
|July 4, 2025
概括
纤维素粘合剂肺部外科手术后有效治疗持续性空气泄漏 (PAL) 和残留性肺部空间 (RPS). 这种微创方法解决了空气泄漏和肺胸部,避免了进一步的手术干预.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部医学 肺部医学
- 干预性肺病学 干预性肺病学
背景情况:
- 持续的空气泄漏 (PALs) 是胸切除术后的常见并发症,增加了住院时间.
- 余腔空间 (RPSs) 经常伴随PAL,使治疗复杂化.
- 纤维素粘合剂胸膜切除为RPS管理提供了一种最少的侵入性选择,可以在没有麻醉的情况下连续使用.
研究的目的:
- 评估纤维素粘合剂囊的疗效,以控制持续的空气泄漏和胸腔切除术后患者的残留囊空间.
主要方法:
- 一名71岁的男性有肺质切除病史,接受了切除胸腔切除术.
- 术后,患者出现了大量的空气泄漏和持久的肺胸部,尽管进行了多次干预.
- 在八天的时间里,通过胸管进行了八次纤维素 Pleurodesis.
主要成果:
- 纤维素粘合剂膜形成功地停止了空气泄漏,并解决了顶端肺胸部.
- 纤维素粘合剂有效地填补了剩余的腔空间,并密封了空气泄漏.
- 患者在没有进一步的手术干预的情况下经历了PALs和RPSs的解决.
结论:
- 纤维素 Pleurodesis 是一个可行的和有效的治疗持续的空气泄漏和残留的胸腔空间后胸切除术.
- 它能够填补RPS,密封空气泄漏,并连续施用,使其成为一种有价值的治疗选择.
- 纤维素粘合剂随着时间的推移被人体重新吸收,从而可能避免需要额外的手术手术.
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