肺癌术后难治性胸腔感染的外科治疗  

Efficacy of indwelling pleural dip in treatment of severe chest infection after pneumonectomy of lung cancer

作　　者：韩毅[1] 刘志东[1] 

机构地区：[1]首都医科大学附属北京胸科医院,北京101149

出　　处：《中国肿瘤临床与康复》2013年第2期158-160,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨肺癌术后胸腔感染胸腔留置浸洗治疗的疗效,并与传统胸腔冲洗方法进行比较。方法选取2003年至2011年收治的44例肺癌手术后胸腔感染患者,根据其治疗方法的不同分为胸腔留置浸洗组和胸腔冲洗组,每组各22例患者。观察两种治疗方法的疗效。结果胸腔留置浸洗组22例患者治愈率100%,无长期保留胸腔闭式引流;胸腔冲洗组22例患者除1例因肿瘤转移死亡外,均治愈,无长期保留胸腔闭式引流,两组患者住院时间比较差异有统计学意义(P<0.05)。结论应用胸膜腔留置浸洗治疗技术,采用敏感抗生素或灭菌药物配置的溶液,可彻底消除残腔内壁的感染病灶,感染残腔变为灭菌残腔而达到临床治愈,避免胸廓改形术等致残性创伤手术或长期保留胸腔引流,显著提高了肺切除术后难治性胸腔感染的临床治愈率,具有广泛的临床应用价值。Objective To explore the treatment of lung cancer after pneumonectomy chest lien dip compared with traditional chest flush. Methods Collect a total of 44 cases of patients with chest infection during 2003 to 2011 in our hospital, according to the treatment method, these patients were divided to two groups, indwelling pleural dip group for 22 patients, and pleural lavage group for 22 patients, the efficacy was compared between the two groups. Results The cure rate of indwelling pleural dip patients reached 100%, no long-term retention chest closed drainage ; except one died of metastasis, cure rate of pleural lay- age group was 95.5%, no long-term retention chest closed drainage, two groups of patients hospitalized time had significant difference （P 〈 0. 05）. Conclusions Through the descending the cavity filling dip drug so- lution and prolong drug effect of time, it can eliminate the residual cavity wall of catching a disease, infections residual cavity into sterilization and achieve a clinical cure the cavity, increase significantly after pneu- monectomy chest infection refractory clinical cure rate.

关 键 词：肺肿瘤 肺切除术 胸腔感染 支气管残端瘘 

分 类 号：R734.2[医药卫生—肿瘤]