伴有肋骨破坏的胸壁结核减创手术治疗体会  

Thoracic wall tuberculosis with rib destruction reductive surgical treatment experience

作　　者：单国际[1] Shah Guoji.(Department of Thoracic Surgery, Jilin Baishan City Center Hospital, Jilin Baishan 134300, China)

机构地区：[1]吉林省白山市中心医院胸外科,134300

出　　处：《中国医师进修杂志》2018年第6期541-542,共2页Chinese Journal of Postgraduates of Medicine

摘　　要：目的探讨及评价合并有肋骨破坏的胸壁结核行病灶清除术时，为减少创伤保留肋骨的手术效果。方法选取5例胸壁结核患者，常规术前检查、抗结核治疗后择期行病灶清除术，术中如果发现有肋骨破坏，为减少创伤，给予清创及电凝烧灼肋骨创面，避免行肋骨切除，术后创腔留置引流，局部以弹力绷带加压包扎。结果5例患者围手术期顺利，切口恢复良好，术后随访3-6个月，无结核复发。结论相对于传统的肋骨切除术，此手术方式能达到治愈效果，且符合微创理念，同时减轻了患者的身体损伤及精神负担。Objective To evaluate the ribs tuberculosis combined with ribs destruction. Methods reserved debridement surgery of thoracic wall Five patients with thoracic wall tuberculosis who were performed routine preoperative examination and selective debridement after anti-tuberculosis treatment. If ribs were found to be damaged during surgery, they were performed debridement surgery and electrocoagulation of rib wound surface to avoid rib excision and reduce trauma reduction. After operation, the wound cavity was indwelled and drained, and local compression bandage was applied. Results The perioperative period of 5 patients was smooth and the incisions recovered well. After 3 - 6 months＇ follow-up, there was no recurrence of tuberculosis occurred. Conclusions Compared with the traditional ribectomy surgery, this surgical procedure coincides with minimally invasive concept.It can achieve the curative effect and reduce the physical injury and mental burden of the patients.

关 键 词：胸壁结核 肋骨破坏 病灶清除 

分 类 号：R655[医药卫生—外科学]