带蒂大网膜在难治性胸壁结核外科治疗中的应用

Application of Pedicled Greater Omentum Graft in Surgical Treatment of Chest Wall Tuberculosis

目的探讨带蒂大网膜在难治性胸壁结核外科治疗中的应用及其疗效。方法回顾性分析2011年9月—2016年12月我科应用带蒂大网膜手术治疗13例难治性胸壁结核患者的临床资料。本组患者13例中,男性8例,女性5例,年龄15～64岁,平均年龄(26.7±11.0)岁,病程2周～3年。结果所有患者均行胸壁病灶清除并带蒂大网膜填塞术。术后病理均确诊为胸壁结核。术后切口愈合良好。术后无出血、肠梗阻、腹部疝等腹部并发症。13例患者平均随访43个月,术后均无复发。结论带蒂大网膜用于难治性胸壁结核患者,操作安全,疗效良好。

Objective To explore the application and curative effect of pedicled greater omentum graft in surgical treatment of chest wall tuberculosis. Methods The clinical data of 13 patients with refractory chest wall tuberculosis treated by pedicled omentum from September 2011 to December 2016 were retrospectively analyzed. Of the 13 patients, 8 were males and 5 females, aged 15~64 years, with an average age of（26.7±11.0） years, with a duration of 2 weeks to 3 years. Results All the patients were treated by excision of chest wall tuberculosis and pedicled greater omentum grafting. Pathological examination showed that all the cases were chest wall tuberculosis. The incisions were all healed well. No postoperative complications occurred in the 13 patients. All patients were available at follow up with mean duration of 43 months. No recurrent chest wall tuberculosis were detected. Conclusion Pedicled greater omentum grafting is safe and feasible in surgical treatment of chest wall tuberculosis.