是否需要调换顺序?
The use of self-expanding metallic stents (SEMS) is the cornerstone of the bronchoscopic treatment of severe anastomotic dehiscence without complete anastomotic breakdown. The ability to capitalize on scarring properties of uncovered SEMS allows for airway remodeling. The SEMS serves as a lattice for granulation tissue to form and reestablish a durable airway. The feasibility of treating severe anastomotic dehiscence bronchoscopically depends on the ability to stent across the defect. Uncovered SEMS are preferred to avoid bacterial colonization of the stent coating and to allow drainage of mediastinal and bronchial secretions while still allowing for ventilation of the involved lobes [11]. Typically, SEMS are left in place for 4 to 6 weeks to allow for adequate granulation formation to cover the defect. If sufficient scarring is not present after 4 to 6 weeks, regular surveillance bronchoscopies should be performed to determine when the defect is closed. When the defect is closed, the stent should be removed. Extreme caution must be exercised when removing the stent to avoid recreating the defect or making the dehiscence worse.
使用自膨式金属支架(self-expanding metallic stents,SEMS)是支气管镜治疗吻合口未完全破裂的严重吻合口裂的基石。利用裸露的SEMS会形成瘢痕的特性进行气道重塑。SEMS可作为肉芽组织形成的网格并可重建持久的气道。是否可在支气管镜下治疗重度吻合口裂开取决于支架通过裂口置入的能力。除可引流纵隔和支气管分泌物以及保持受累肺叶的通气,裸露的SEMS还是避免支架涂层细菌定植的首选方法[11]。通常,将SEMS保留在原位4~6周,以允许充分的肉芽形成完全覆盖缺损。如果4~6周后未有足够的瘢痕,应定期支气管镜检查监测,以确定开裂处何时闭合。当开裂处闭合时,应取出支架。在取出支架时,必须格外小心,以避免重新裂开或使开裂恶化。
uncovered裸露的?
The ability to capitalize on scarring properties of uncovered SEMS allows for airway remodeling. The SEMS serves as a lattice for granulation tissue to form and reestablish a durable airway. 利用裸露的SEMS会形成瘢痕的特性进行气道重塑。SEMS可作为肉芽组织形成的网格并可重建持久的气道。
这两句话是不是调换顺序理解起来更合适,前一句似乎是结论,后一句说的是理由,调换顺序后把两句话合并在一起是不是更符合国人的理解?
因SEMS可作为肉芽组织形成的网格并可重建持久的气道,故可利用裸露的SEMS会形成瘢痕的特性进行气道重塑。
最后编辑于 2022-10-09 · 浏览 6084