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首页> 外文期刊>Journal of bronchology & interventional pulmonology >Toward Easy and Rapid Bronchial Occlusion With an Endobronchial Watanabe Spigot
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Toward Easy and Rapid Bronchial Occlusion With an Endobronchial Watanabe Spigot

机译：与胚胎Watanabe Spigot轻松快速的支气管闭塞

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Background: Bronchial occlusion using an endobronchial Watanabe spigot (EWS) is reportedly effective for intractable bronchopleural fistula. Here, we describe a rapid and easy method for bronchial occlusion using a guide sheath (GS) and curette. Methods: Thirty consecutive patients who underwent bronchial occlusion under mild sedation between October 2014 and February 2018 were enrolled. The devices used were a flexible bronchoscope (BF-1T260 or BF-1TQ290), GS (SG-201C; with 30?mm of the proximal end cutaway), and a CC-4CR-1 curette (all supplied by Olympus Ltd). The curette was inserted into the GS with the tip of the curette exposed outside the GS. The curette and GS were inserted into the bronchoscope. The EWS attached to the curette tip was inserted into the target bronchus and left in position by pulling the curette back through the GS while pushing the EWS with the GS under the bronchoscopic view. The success rate and procedure time were recorded. Results: Bronchial occlusion with an EWS was performed on 143 target bronchi (2 to 9 bronchi/patient). The bronchial occlusion success rate was 98.6%. The median procedure time for bronchial occlusion per EWS on video recordings of the 10 most recent procedures was 110 (range, 40 to 521) seconds. The target bronchial occlusion success rate was 100%. This method enabled easy insertion of the EWS, even in the sharply branching upper lobe bronchus. No complications were observed. Conclusion: Bronchial occlusion using a GS and curette is a rapid and easy technique even in a sharply branching target bronchus.
机译：背景：据报道，使用胚胎Watanabe猿猴（EWS）的支气管闭塞对于难以应变支气管瘘有效。在这里，我们描述了使用引导护套（GS）和刮刀的支气管闭塞的快速和简便的方法。方法：2014年10月至2018年2月间在轻度镇静下接受支气管闭塞的30名连续患者。使用的装置是柔性支气管镜（BF-1T260或BF-1TQ290），GS（SG-201C;近端终端剖面30毫米），以及CC-4CR-1刮匙（由Olympus Ltd提供）。将刮刀插入GS中，卷曲尖端暴露在GS外部。将曲面和Gs插入支气管镜中。附着在刮刀尖端的EWS插入目标支气管中，并通过将刮匙通过GS拉回刮块，同时在支气管镜下的视图下推动EW。记录成功率和程序时间。结果：对143靶支气管（2至9间支气管/患者）进行支气管闭塞。支气管闭塞成功率为98.6％。每次EWS在10个最近程序的视频录制上的支气管闭塞的中位程序时间为110（范围，40至521）秒。目标支气管闭塞成功率为100％。即使在急剧分支的上叶支气管中，这种方法也能够轻松插入EWS。没有观察到并发症。结论：使用GS和刮蛋白的支气管闭塞是一种快速且易于易于易于易于易于轻松的技术，即使在急剧分支的靶支气管中也是如此。

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