摘要
目的 总结经心包纵隔内关闭支气管残端治疗难治性支气管胸膜瘘的经验。方法 3例难治性支气管胸膜瘘的病人 ,采用胸骨正中切口经心包纵隔内关闭支气管残端加胸壁开窗引流治疗。结果 3例支气管残端均闭合良好 ,随访至少 5个月 ,无复发。结论 该手术方法安全、疗效肯定 ,操作简单 ,复发率低 ,可在临床推广。
Objective To review the experience of closure of recalcitrant bronchopleural fistula using the transsternal transpericardial approach. Methods 3 patients with recalcitrant bronchopleural fistula underwent transsternal transpericardial closure of a bronchopleural fistula and drainage by open thoracostomy. Results All patients were survived and there was no recurrence of bronchopleural fistula. Conclusion Transsternal transpericardial approach seems to be a safe and effective method in cases of bronchopleural fistula complicated with empyema. It has the added advantage of less recurrent fistula formation.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
2005年第1期2-4,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
