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肺移植治疗特发性胸膜肺实质弹力纤维增生症1例并文献复习

梁佳龙 盛玲 周锦涛 陈员 陈静瑜 叶书高

中国现代手术学杂志2025,Vol.29Issue(2):114-118,5.
中国现代手术学杂志2025,Vol.29Issue(2):114-118,5.DOI:10.16260/j.cnki.1009-2188.2025.02.005

肺移植治疗特发性胸膜肺实质弹力纤维增生症1例并文献复习

Lung transplantation for idiopathic pleuropulmonary fibroelastosis:a case report and literature review

梁佳龙 1盛玲 1周锦涛 1陈员 1陈静瑜 1叶书高1

作者信息

  • 1. 南京医科大学无锡医学中心无锡市人民医院南京医科大学附属无锡人民医院肺移植中心,江苏无锡 214023
  • 折叠

摘要

Abstract

Objective To investigate the efficacy of lung transplantation in the treatment of idiopathic pleuroparenchymal fibroelastosis(IPPFE).Methods The process of lung transplantation treatment for an IP-PFE patient was reported.The patient was diagnosed through lung biopsy.His symptomatic treatment was ineffec-tive and the symptoms worsened.After evaluation,lung transplantation surgery was performed,and clinical out-comes were observed during the follow-up period.Using"lung transplantation"and"idiopathic pleuropulmonary parenchymal fibroelastosis"as search terms,literature was searched in China National Knowledge Infrastructure(CNKI),Wanfang Data and the PubMed database until January 2024.The effectiveness of lung transplantation treatments were summarized for the reported IPPFE patients.Results The patient successfully underwent a continuous double lung transplantation assisted by veno-venous extracorporeal membrane oxygenation(VV-ECMO),with good postoperative recovery and smooth discharge.The patient had been followed up for 30 months and the postoperative recovery was good.Through precise literature search,a total of 12 English literature related to the clinical treatment of IPPFE were screened,including 1 review,3 monographs,and 8 case reports.No relevant Chinese literature had been found.42 patients ultimately included in the study underwent lung transplantation surgery,with an average overall survival of(80±35)months after surgery.Conclusions Lung transplantation is an effective treatment for end-stage IPPFE,which can improve the cardiopulmonary function,improve the quality of life and prolong the survival time.It is necessary to strictly control infec-tion and recurrence after operation.

关键词

肺移植/特发性胸膜肺实质弹力纤维增生症/文献复习

Key words

lung transplantation/idiopathic pleuroparenchymal fibroelastosis/literature review

引用本文复制引用

梁佳龙,盛玲,周锦涛,陈员,陈静瑜,叶书高..肺移植治疗特发性胸膜肺实质弹力纤维增生症1例并文献复习[J].中国现代手术学杂志,2025,29(2):114-118,5.

基金项目

国家自然科学基金项目(82070059) (82070059)

江苏省医学创新中心项目(CXZX2022001) (CXZX2022001)

中国现代手术学杂志

1009-2188

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