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彻底清除术治疗胸壁结核的临床研究 被引量:2

Clinical study on complete debridement in chest wall tuberculosis
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摘要 目的评价彻底清除术治疗胸壁结核的临床治疗效果。方法分析河南省濮阳市第五人民医院胸外科2001年9月—2008年1月收治的168例胸壁结核病人临床资料,90例采用彻底清除术;78例采用传统的病灶清除术。对2组病人的手术时间、术后住院天数、术后并发症发生情况进行统计学分析。结果治疗组手术时间(75.00±28.52)min,术后住院时间(12.66±4.46)d,术后切口皮下积液4例,感染延期愈合3例,未愈合0例,1年内原切口复发2例。传统组手术时间(72.31±25.20)min,术后住院时间(14.16±5.41)d,术后切口皮下积液12例,感染延期愈合9例,未愈合4例,1年内原切口复发9例。结论彻底清除术较传统的胸壁结核病灶清除术术后并发症发生率较低,术后复发率较低,这种方法值得在临床推广使用。 Objective To evaluate the clinical efficacy of complete debridement in chest wall tuberculosis. Methods We analyzed 168 patients with chest wall tuberculosis hospitalized in the fifth people's hospital of Puyang from September 2001 to January 2008. Of 168 patients, 90 patients received complete debridement and 78 patients received traditional focal debridement. Operation time, postoperative hospital days and postoperative complications were compared between two groups. Results In the complete debridement group, the operation time and postoperative hospital days were 75.00±28.52 minutes and 12.66±4.46 day respectively. There were 4 patients with subcutaneous effusion at operation incision, 3 with delayed healing because of incision infection, no patient without healing, and 2 with relapse at original incision in the complete debridement group. However, the operation time and postoperative hospital days were 72.31±25.20 minutes and 14.16 ±5.41 day respectively in traditional operation group. And there were 12 patients with subcutaneous effusion at incision and 9 with delayed healing due to incision infection and 4 with unhealed incision and 1 with relapse at original incision. Conclusions The rate of postoperative complications and postoperatvie relapse of patients with complete debridement are lower than those of patients with traditional operation. Complete debridement is value to be applied for the clinic.
出处 《中国防痨杂志》 CAS 2009年第10期605-607,共3页 Chinese Journal of Antituberculosis
关键词 结核 胸膜/外科学 结核 肺/外科学 胸壁 tuberculosis, pleural/surgery tuberculosis, pulmonary/surgery thoracic wall
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参考文献2

  • 1Kim YT, Han KN, Kang CH, Sung SW, Kim JH. Complete resection is mandatory for tubercular cold abscess of the chest wall[J]. AnnThoracSurg, 2008,85(1):273--277.
  • 2Paik HC, Chung KY, Kang JH, Maeng DH. Surgical treatment of tuberculous cold abscess of the chest wall [J]. Yonsei Med J. 2002,43(3) : 309-- 314.

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