带蒂前锯肌瓣修补肺癌术后支气管残端瘘的体会  

Experiences on treating postpneumonectomy bronchopleural fistula with anterior muscle flap neoplasty

作　　者：黄健宏[1] 王茂生[1] 黄健[1] 

机构地区：[1]广东省茂名市人民医院

出　　处：《中国医学创新》2011年第26期56-58,共3页Medical Innovation of China

摘　　要：目的观察带蒂前锯肌瓣修补肺癌切除术后支气管残端瘘的疗效。方法回顾性分析本院1992年6月～2009年6月612例因肺癌接受全肺切除术患者中24例术后支气管残端瘘患者的临床资料，其中11例患者接受带蒂前锯肌瓣修补术，13例患者应用生物胶封堵，对不同手术方法的治愈率进行比较分析。结果接受带蒂前锯肌瓣修补术的11例患者中10例治愈出院，治愈率为90．9％；接受生物胶封堵术的13例患者中9例治愈出院，治愈率为69．2％。结论带蒂前锯肌瓣用于修补肺癌术后支气管残端瘘，具有操作简便和治愈率高的特点。Objective To observe the curative effect of serratus anterior muscle flap neoplasty in the treatment of brenchopleural fistula after pulmonary resections for lung cancer. Methods Reviewed the clinical data of 24 cases of postpneumonectomy bronchopleural fistula out of 612 patients who received total pneumonectomy for lung cancer in our hospital between June 1992 and June 2009. 11 cases were treated with serratus anterior muscle flap neoplasty while 13 cases were treated with biologic glues applied brounchoscopically to close the fistula. The cure rate of the two groups treated with different methods was compared. Results Of the 11 cases treated with serratus anterior muscle flap neoplasty, 10 were cured with a cure rate of 90. 9% , and of the 13 cases treated with biologic glues, 9 were cured with a cure rate of 69.2%. There was no statistical difference between the two groups （ P 〉 0. 05 ）. Conclusion Serratus anterior muscle flap neoplasty, which is charactered by easy operation and high cure rate, is of great clinical importance.

关 键 词：带蒂前锯肌瓣 支气管残端瘘 肺癌全切术 

分 类 号：R734.2[医药卫生—肿瘤]