肺切除术后支气管胸膜瘘的防治研究

Pneumonectomy after bronchial fistula prevention and treatment research

目的总结肺切除术后并发支气管胸膜瘘的诊治经验。方法对肺切除术后发生支气管胸膜瘘的21例患者（发生率1．54％）进行观察。结果治愈19例，治愈率90．47％。2例经三次手术后复发，死于晚期肺癌。结论术中尽量减少胸腔污染，避免支气管残端肿瘤或结核的残留，术后彻底引流胸腔积液能降低支气管胸膜瘘的发生。

Objective To summarize the experience of the prevention and treatment on bronchopleural fistula complicated after pneumonectomy. Methods Twenty one （ 1. 54% ） postoperative bronchoplearal fistula cases were studied. Results Nineteen were cured, the cure rate was 90. 47%, two cases of post - operative again after a recurrence of cases of advanced lung cancer died. Conclusions Intraoperative chest to minimize the pollution to avoid the bronchial stump of the residual tumor or tuberculosis, after a thorough drainage of pleural effusion can reduce the incidence of bronchial fistula.