CAJ | 학술논문

目的：探讨带血管蒂肌瓣治疗慢性结核性脓胸的方法和疗效。方法总结分析应用带血管蒂肌瓣手术治疗40例慢性结核包裹性脓胸患者手术技巧和近期及远期疗效。病变位于右侧胸腔28例,左侧胸腔12例,合并胸壁结核10例,合并肋骨结核4例。结果40例患者中全部行胸膜纤维板剥脱术,术中复张肺叶后,均有残余空腔,采用肌瓣填充残腔,2例2年后复发,经过治疗后治愈,治愈率95%。结论慢性结核包裹性积液脓胸行纤维板剥脱术后,胸内残腔用带血管肌瓣填充,方法可行,疗效确切,能有效减少复发。
목적：탐토대혈관체기판치료만성결핵성농흉적방법화료효。방법총결분석응용대혈관체기판수술치료40례만성결핵포과성농흉환자수술기교화근기급원기료효。병변위우우측흉강28례,좌측흉강12례,합병흉벽결핵10례,합병륵골결핵4례。결과40례환자중전부행흉막섬유판박탈술,술중복장폐협후,균유잔여공강,채용기판전충잔강,2례2년후복발,경과치료후치유,치유솔95%。결론만성결핵포과성적액농흉행섬유판박탈술후,흉내잔강용대혈관기판전충,방법가행,료효학절,능유효감소복발。
Objective To evaluate the method and efficacy of vascular pedicle muscle flap intrathoracic fill-ing in the treatment of chronic tuberculous encapsulated empyema. Methods 40 patients with chronic tuberculous encapsulated were received vascular pedicle muscle flap intrathoracic filling, and the surgical therapy and the clinical effect were observed. 28 cases' lesions located in right pleural, 12 cases in left chest. , 10 cases of tuberculosis of chest wall, and 4 cases of tuberculosis of rib. Results All patients were given decortication of lung, and they had cavity after lung recruitment. Then they were treated with vascular pedicle muscle flap intrathoracic filling. There were 2 cases of recurrence after 2 years, and the cure rate was 95. 0%. Conclusion Vascular pedicle muscle flap intrathoracic filling is an effective method in the treatment of chronic tuberculous encapsulated empyema and reduce the recurrence.