支气管位置的单一机构结果,用于持续的空气泄漏
Kaity H Tung1,2, Sujay Sreenivasan1, Rajesh Kunadharaju3
1Department of Surgery, University at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY.
JTCVS open
|September 9, 2025
概括
支气管 (BVs) 有效地治疗由各种原因引起的持续性肺气泄漏,特别是在肺部手术后. 这种内镜方法耐受性良好,使患者能够通过胸腔管和高空气泄漏分辨率排出.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部病理学 肺部病理学
- 医疗器械 医疗器械
背景情况:
- 持续的肺空气泄漏是患有胸部病理的患者的并发症.
- 螺旋支气管 (BVs) 是FDA批准的人道主义使用设备,用于持续的空气泄漏肺切除后.
研究的目的:
- 评估BVs在解决各种病因的持续性空气泄漏方面的有效性.
- 评估与空气泄漏管理的BV安置相关的结果.
主要方法:
- 从2013年到2024年,对67名因持续空气泄漏而接受BV治疗的患者进行了回顾性审查.
- 对患者人口统计和结果的分析,包括空气泄漏的解决方案,BV去除和死亡率.
主要成果:
- 在大多数队列中观察到高空气泄漏分辨率 (≥95%),除了自发性肺胸部 (80%).
- 在86%的肺切除患者和72%的其他患者中成功去除了BV.
- 61%的患者通过胸管出院;9%的90天死亡率.
结论:
- 支气管的放置是一种有效的,内镜,和耐受性良好的治疗持续的空气泄漏.
- 在各种条件下,BVs促进胸管排放和空气泄漏的解决,特别是肺切除后.
- 建议使用BVs进行肺切除后持续空气泄漏管理的算法.
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