经肋床入路病灶清除术治疗结核性膈下脓肿30例疗效分析  

Analysis on Clinical Efficacy of Debridment through Costal incision in Treating 30 cases of the Subphrenic Abscess duo to Tuberculosis

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作  者:汤中文[1] 倪正义 陈兆辉[1] 

机构地区:[1]武汉市医疗救治中心外科,湖北武汉430000

出  处:《临床肺科杂志》2011年第4期543-544,共2页Journal of Clinical Pulmonary Medicine

摘  要:目的探讨经肋床入路病灶清除术治疗结核性膈下脓肿的可行性。方法对30例结核性膈下脓肿患者采用经肋床病灶清除治疗,观察治疗效果及并发症。结果 30例患者均治愈,无复发、无窦道、无脓胸形成。2例术中出现胸膜损伤,1例术后出现气胸,经抽气后治愈。结论采取经肋床入路病灶清除术治疗结核性膈下脓肿并发症少、治愈率高,安全可靠。Objective To explore the possibility of treating the subphrenic abscess duo to tuberculosis by debridment through costal incision.MethodsThe 30 cases of patients of subphrenic abscess underwent the debridement through costal incision and the effectivity and complications were documented.ResultsAll of the 30 patients healed without the recurrence,sinus and empyema formations.Pleura impairment present in 2 cases cured by repairment without pneumothorax;1 cases has the pneumothorax and was cured by needle aspiration.ConclusionDebridment through costal incision for subphrenic abscess duo to tuberculosis is safe and effective with few complications.

关 键 词:膈下脓肿 结核 经肋床入路 病灶清除术 

分 类 号:R655.6[医药卫生—外科学]

 

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