皮下避孕器植入物的肺栓塞:节省肺部的精确切切去除
Ibrahim Talal Fazmin1,2, Adam Peryt3, Giuseppe Aresu3
1Department of Cardiothoracic Surgery, Royal Papworth Hospital NHS Foundation Trust, Cambridge, UK talal.fazmin@nhs.net.
BMJ case reports
|December 3, 2025
概括
避孕植入物的肺栓塞是罕见的. 这一案例显示,成功地用肺节省技术从肺动脉中切除了Nexplanon装置,避免了肺切除.
科学领域:
- 心脏病学 心脏病学
- 肺部医学 肺部医学
- 手术创新 在外科创新.
背景情况:
- 皮下避孕器植入物迁移到肺血管是罕见但已有记录的并发症.
- 肺动脉避孕植入物的管理策略没有标准化,选择范围从观察到手术干预.
研究的目的:
- 报告一个在肺动脉内迁移的Nexplanon避孕植入物的病例.
- 描述一个成功的肺节约手术方法,用于设备检索.
- 强调在管理罕见的植入物并发症时,多学科决策的重要性.
主要方法:
- 在右下叶肺动脉的细分分支中通过成像识别了一种非触摸性Nexplanon植入物.
- 使用视频辅助胸腔镜手术 (VATS) 探索进行了手术切除,随后进行了迷你胸腔切除.
- 使用精确的,节省肺部的切口来提取设备,而无需进行肺部切除.
主要成果:
- 使用描述的手术技术,避孕植入物成功从肺动脉中提取出来.
- 患者经历了无事件的术后恢复,在术后第5天出院.
- 在手术过程中没有牺牲肺膜.
结论:
- 精确手术可以有效地去除肺动脉嵌入的避孕植入物,同时保持肺功能.
- 共享决策和多学科的方法对于管理罕见的,复杂的设备相关的并发症至关重要.
- 这一案例突出了肺血管植入物迁移的可行外科选择.
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