Titanium nickel construction with shape memory effect for bronchus stump capsulation with lung resection

C.G. Filippov, E. Sokolovich, E. B. Topolnitskii
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Abstract

In spite of significant successes in the field of lung surgery such complications of the post-operative period as failure of the bronchus stump and bronchial fistulas are still serious problems. According to the information of foreign and native authors the frequency of complications amounts to from 2 up to 30%. Resulting from this mortality amounts to 70%. In terms of treatment success the recovery of such patients' health therefore accounts for no more than 30%. This makes the life quality and social adaptation of patients worse. In the opinion of most authors the main cause of the presented complications is the character and quality of the bronchial suture. A large quantity of suggested types and modifications of bronchus stump sutures is evidence of this. The shortcoming of hand and mechanical sutures traditionally used at present is their effect on the bronchial lumen. The bronchial lumen condition ruins the protective barrier of the mucous membrane. In this connection the development of new methods of bronchus stump capsulation without the above mentioned shortcoming is supposed to be the most effective development to improve lung surgery.
具有形状记忆效应的钛镍结构在肺切除支气管残端包膜中的应用
尽管在肺外科领域取得了显著的成功,但术后并发症如支气管残端失败和支气管瘘仍然是严重的问题。根据国外和国内作者的资料,并发症的发生率从2%到30%不等。由此造成的死亡率高达70%。就治疗成功而言,这类患者的健康恢复率不超过30%。这使得患者的生活质量和社会适应能力变差。在大多数作者看来,并发症的主要原因是支气管缝合的性质和质量。大量建议的支气管残端缝合的类型和修改就是证据。目前传统的手工缝合和机械缝合的缺点是对支气管腔的影响。支气管腔状况破坏了粘膜的保护屏障。因此,没有上述缺点的支气管残端囊化新方法的发展应该是改善肺外科最有效的发展。
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