微创技术治疗术后早期支气管残端瘘

背景与目的支气管残端瘘是肺切除术后一种少见但后果严重的并发症,由于支气管残端局部形成的包裹性积液或积血进而发生的感染是目前引发支气管残端瘘的主要原因。本研究旨在应用CT定位置管术和胸腔镜直视置管术对术后早期支气管残端瘘的患者进行治疗并观察其临床疗效。方法2003年10月-2008年7月共识别早期支气管残端瘘12例,并应用CT定位置管术和胸腔镜直视置管术进行治疗。结果应用CT定位置管术和胸腔镜直视置管术处理后,患者临床症状立即消失,瘘口愈合。结论及时识别并应用微创技术治疗早期支气管残端瘘,可有效地避免病情进展,临床疗效满意。

Microinvasive Technique for Postoperative Early Bronchial Stump Fistula

Background and objective Although Bronchial stump fistula after pneumonectomy is a rare,but has serious complications. The main reason is that encapsulated fluid or blood around bronchial stump forms and infects. We used CT localization chest drainage and direct vision-assisted thoracoscopic chest drainage techniques to treat early fistula and observe their clinical efficacy. Methods Between October 2003 and July 2008,12 patients with early bronchial stump fistula were recognized,and underwent CT localizati...