21例胸壁结核脓肿临床治疗  

THERAPEUTIC EXPERIENCE OF TUBERCULAR ABSCESS IN CHEST WALL OF 21 CASES REPORT

作　　者：孙超[1] 袁东朋[1] 

机构地区：[1]江苏省东海县人民医院胸心外科,东海222300

出　　处：《现代预防医学》2011年第24期5145-5146,共2页Modern Preventive Medicine

摘　　要：[目的]总结5年来胸壁结核脓肿手术经验体会。[方法]2006年1月～2011年8月,本院收治胸壁结核病例21例。其中男性12例,女性9例;年龄18～64岁,中位年龄33.5岁。患者术前2周均接受抗结核治疗。术中仔细探查脓肿范围,完全彻底地清除脓液及坏死组织。形成的残腔以碳酸氢钠溶液冲洗后用胸大肌、前钜肌及背阔肌制成的皮瓣填塞。手术结束后放置橡皮条引流并局部加压包扎。[结果]21例患者中,Ⅰ期愈合19例,1例术后形成胸壁窦道,经换药1～2个月治愈。1例术后6月后复发接受第二次手术。[结论]胸壁结核性脓肿的手术治疗,以仔细探查,彻底清除病灶,和通过肌瓣填塞,负压吸引消灭残腔尤为关键。[Objective]To review and present the surgical experience of tubercular abscess in the chest wall（TACW）.[Methods]The records of 21 patients who underwent surgical treatment for TACW from 2006 to 2011 were retrospectively reviewed. We conducted the following surgical treatment：careful exploration,complete Resection,coverage using muscle flap,continuous suction and drainage and compression dressing.[Results]19 cases were discharged for rehabilitation with the 1st stage wound healing（19/21）. One case postoperatively healed up after dressing changes for one to two months. One patient with an abscess relapse underwent the second operation.[Conclusion]The key point of operation on tubercular abscess in chest wall includes thorough debridement of TACW and elimination of residual cavity.

关 键 词：胸壁结核 手术治疗 肌瓣 

分 类 号：R52[医药卫生—内科学]