复发性胸壁结核局部病灶的相关处理措施分析  

Treatment on local lesion of recrudescent thoracic tuberculosis

作　　者：何革[1] 徐旭东[1] 叶波[1] 陈达[1] 

机构地区：[1]杭州市红十字会医院,浙江杭州310003

出　　处：《中华医院感染学杂志》2013年第7期1562-1563,共2页Chinese Journal of Nosocomiology

摘　　要：目的总结分析复发性胸壁结核局部病灶的相关处理措施,以提高其治疗效果。方法随机选取2007年8月-2011年10月胸外科收治的术后复发性胸壁结核患者95例,回顾性分析患者所接受的处理措施及治疗效果。结果经手术彻底清除病灶并辅以术后正规抗痨治疗后,95例患者中切口甲级愈合87例,延期愈合6例,未愈合2例;随访1年原切口结核局部复发3例,无非切口部位复发病例;切口未愈及复发患者经再次手术及抗痨治疗后均治愈。结论对于复发性胸壁结核局部病灶的治疗,手术彻底清除病灶、消灭死腔、通畅引流并辅以术后正规抗痨等处理措施,可达到较好的治疗效果。OBJECTIVE To explore the related measures for the treatment of local lesion of recrudescent thoracic tuberculosis so as to improve the therapeutic effect. METHODS A total of 95 patients, who were diagnosed as the recrudescent thoracic tuberculosis from Aug 2007 to Oct 2011, were enrolled in the study, and therapeutic effects of the treatment measures of the patients were retrospectively analyzed. RESULTS After the complete removal of focus combined with the regular anti-tuberculosis treatment for 95 patients, there were 87 cases of patients with class A wound healing, 6 cases with delayed wound healing, and 2 cases without wound healing. The one-year follow-up found that 3 cases developed recrudescent tuberculosis of original incision and no cases with recrudescent tuberculosis on other surgical site. The patients with the surgical incision unhealed and the patients with recrudes- cent tuberculosis were all healed after the receiving the surgery and the anti-tuberculosis therapy. CONCLUSION For the treatment of local lesion of recrudescent thoracic of deal space, and unobstructed drainage combined with tuberculosis, the complete removal of focus, obliteration anti-tuberculosis can achieve better therapeutic effect.

关 键 词：复发胸壁结核 手术 处理措施 

分 类 号：R181.32[医药卫生—流行病学]