结核性脓胸伴支气管胸膜瘘的外科治疗  

Surgical management of tuberculous empyema with bronchopleural fistula

作　　者：王成[1] 金锋[1] 张运曾[1] 王明训[1] 

机构地区：[1]山东省胸科医院胸外科,250013

出　　处：《医学信息（下旬刊）》2010年第11期6-6,共1页Medical information

摘　　要：目的：探讨结核性脓胸伴支气管胸膜瘘患者的外科治疗经验.方法：回顾分析我们采用胸膜剥脱、瘘修补、肌瓣移植加胸廓成形术、胸膜肺切除术及胸腔闭式引流等治疗结核性脓胸合并支气管胸膜瘘102例的临床资料.结果：本组3例因不能耐受进一步手术被迫采用闭式引流术作为永久性的治疗.余99例中完全治愈93例,复发6例.术后5例发生迁延性肺漏气,切口愈合不良3例.结论：外科手术是治疗结核性脓胸合并支气管胸膜瘘的唯一有效方式,应根据患者病情及身体状况选择恰当的手术方式.Objective To explore the experience of surgical treatment on chronic tuberculous empyema with bronchopleural fistula. Methods 102 patients of tuberculous empyema with bronchopleural fistula were treated surgically in our hospital between1998 and 2008. Chest tube drainage was performed in 102 patients, decortication combined with fistula repair in 64, thoracoplasty with fistula repair in 25,pleuropneumonectomy and resection of remaining lung in 10, thoracoplasty with muscle pedicle flap transposition in 13. Results 3 cases were applied thoracic close drainage as nonvolatil treatment. 93 cases were cured with operation, pulmonary air leak in 5 cases,3 patients＇ cutting edge were disunion. Conclusion Surgical procedure is only effective way in treating tuberculous empyema with bronchopleural fistula＇. Proper selection of operation type according to the patient＇ condition is suggested.

关 键 词：结核性脓胸 支气管胸膜瘘 外科治疗 

分 类 号：R655[医药卫生—外科学]