带蒂大网膜胸内移植术治疗残腔较大的慢性脓胸36例

Transplantation of Thoracic Cavity of Pedunculated Greater Omentnm to Cure Major Residual Cavity of 36 Cases of chronic Pyopneumothorax

目的 探讨带蒂大网膜胸内移植术治疗残腔较大的慢性脓胸的临床研究。方法 剥脱脏层胸膜纤维板,彻底松解壁层纤维板,使肺充分膨胀后,仍留较大残腔时,切开膈肌,游离带蒂大网膜移植于胸内,消灭残腔。结果 本组36例全部治愈,无一例复发和并发症发生。结论 该术式不仅消灭残腔治愈了脓胸,而且促进肺内病灶的愈合,提高了痰菌转阴率,疗效显著,扩大了手术适应证。

Objective To manage clinical study of transplantation of thoracic cavity of peduneulated greater omentum to cure major residual cavity chronic pyopneumothorax. Method Denude fibrous plate of viscerd pleura, cast loose the fibrous plate of parietal pleura thoroughyl, let lungs expand full, then it leave over major residual cavity,incision diaphragm,dissociate peduneulated greater omentum and transplanted itinto thoracic cavity, exterminate residual cavity. Results 36 cases of this paper were cured completely, none relapsedand and none complication occured. completely, none relapsedand and none complication occured. Conclusion This operation program not only exterminated residual cavity and cured pyopneumothorax , but promoted intrapulmonic focu s heal and enhanced trans - negative rate of sputum for tubercle bacillus, curative effect obviously and enlarged operation indication.