摘要
目的探讨应用大网膜移植胸膜腔治疗肺切除术后支气管胸膜瘘合并脓胸的临床效果。方法对34例肺切除术后发生支气管胸膜瘘并脓胸的患者,采用清理脓胸并大网膜移植胸膜腔填塞残腔。结果全组患者均手术1次成功,死亡率和2年内复发率为零。34例行脓胸清理并大网膜胸腔移植填塞残腔术后33例瘘口在短期内闭合,体温、血常规短期内恢复正常,胸腔引流管放置时间在4~11d,仅1例患者胸腔闭式引流因漏气持续近3个月后停止。全部患者随访2年,无支气管胸膜瘘和脓胸复发。结论胸膜腔移植大网膜治疗肺切除术后支气管胸膜瘘合并脓胸是一种创伤小,安全有效的治疗方法 。
Objective To study the clinical effect of the treatment for bronchopleural fistula complicated with empyema after pneumonectomy by transplanting omentum majus.Methods Totally 34 cases of bronchopleural fistula with empyema after pneumonectomy,was retrospectively cleaned empyema and transplanted omentum majus from their abdomen.Results All cases were successful without the mortality and recurrent rate within two years.The 33 of 34 cases were cured,including normal temperature and white blood count during short time;thoracic drainage was lasted 4~11 days,only one case was lasted near one month.Conclusion It is safe effective treatment for bronchopleural fistula with empyema after pneumonectomy by transplanting omentum majus.
出处
《医药论坛杂志》
2010年第11期20-21,共2页
Journal of Medical Forum
关键词
大网膜
移植
支气管胸膜瘘
Omentum majus
Transplant
Bronchopleural fistula
