[1]李培文,李宗明,韩新巍,等.覆膜Y型单子弹头气道支架治疗左主支气管胸膜瘘12例[J].介入放射学杂志,2014,(11):1000-1004.
 LI Pei wen,LI Zong ming,HAN Xin wei,et al.Using Y shaped single plugged airway covered stent to block left main bronchial stump fistula: initial experience in 12 cases[J].journal interventional radiology,2014,(11):1000-1004.
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覆膜Y型单子弹头气道支架治疗左主支气管胸膜瘘12例 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2014年11期
页码:
1000-1004
栏目:
临床研究
出版日期:
2014-11-25

文章信息/Info

Title:
Using Y shaped single plugged airway covered stent to block left main bronchial stump fistula: initial experience in 12 cases
作者:
李培文 李宗明 韩新巍 吴 刚 路慧彬 焦德超 任克伟 张全会
Author(s):
LI Pei wen LI Zong ming HAN Xin wei WU Gang LU Hui bin JIAO De chao REN Ke wei ZHANG Quan hui.
Department of Interventional Radiology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province 450052, China
关键词:
【关键词】 支气管胸膜瘘 Y型自膨式覆膜内支架 Y型 介入放射学
文献标志码:
A
摘要:
【摘要】 目的 评估应用Y型单子弹头覆膜气道支架封堵残端较短的左主支气管胸膜瘘的临床效果。方法 回顾性分析2010年8月—2013年9月收治的12例残端较短的左主支气管胸膜瘘患者,根据这类患者支气管残端较短的解剖结构特点,个体化定制Y型单子弹头覆膜气道内支架。在X线监视下,12例患者共置入12枚Y型单子弹头内支架。观察患者支架置入后瘘口愈合情况。结果 12枚支架均一次性置入成功,内支架置入后瘘口即刻完全封堵,随访3 ~ 17个月;6例瘘口封堵良好,支架置入后3个月取出,瘘口愈合、残腔消失;5例复查胸部多排螺旋CT(MSCT)显示支架子弹头部周围软组织较薄,残腔较前明显缩小,未取出支架,继续负压引流,带支架生存至今。1例高龄患者,支架置入前已存在重度肺部感染,支架置入后瘘口虽即刻完全封堵,但术后未能控制原有肺部感染,加之体质虚弱,术后2周死于肺部重度感染和机体衰竭。结论 应用Y型单子弹头覆膜自膨式内支架封堵残端较短的左主支气管胸膜瘘患者的瘘口,近期临床效果可靠,值得推广应用。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2013-12-25)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2014-11-24