开胸手术治疗支气管胸膜瘘9例分析

Thoracic surgery treating bronchial fistula 9 cases

目的探讨带蒂肌瓣修补术和带蒂大网膜修补术治疗支气管胸膜瘘的疗效。方法回顾性分析2000年1月～2011年1月我院收治的9例支气管胸膜瘘患者的临床资料。所有患者均给予有效抗感染治疗,营养不良患者给予相应的营养支持,其中6例采用肋间肌瓣修补,3例采用带蒂大网膜修补。结果 8例患者治愈,随访半年以上无复发。1例采用带蒂肌瓣修补术患者术后瘘口闭合不良,并发呼吸衰竭死亡。结论带蒂肌瓣修补术和带蒂大网膜修补术能就近取材、应用范围较广,是治疗支气管胸膜瘘的有效方法。

Objective To investigate the efficacy of muscle flaps and pedicled omental patch in treating bronchial fistula. Methods Retrospectivly analysis 9 cases of bronchial fistula patients in our hospital from January 2000 to January 2011. All pa- tients were treated with effective anti-infective governance materials, given appropriate nutritional support for malnourished pa- tients, including six cases of intercostal muscle flap repair, three cases of pedic｜ed omental patch. Results 8 patients were cured, followed up for more than six months without recmTence. 1 cases using muscle flaps repair fistula closure bad postopera- tive, complicated by respiratory failure and death. Conclusion Muscle flaps repair and pedicled omental repair can be drawn near, a wider range of applications, it is an effective method for the treatment of bronchial fistula.