游离股外侧肌皮瓣治疗合并巨大脓腔的慢性脓胸疗效

目的观察游离股外侧肌皮瓣移植术治疗合并巨大脓腔的慢性脓胸疗效:方法2015年5月至2020年11月合并巨大腺腔的慢性脓胸患者6例,男4例,女2例,年龄21〜63岁,平均年龄(40.67±18.06)岁。将游离好的股外侧肌皮瓣,通过显微外科技术,间断吻合肌外侧肌皮瓣的动脉、静脉与胸背动脉、静脉,保证游离肌皮瓣足够的血供:结果术后所有患者游离肌皮瓣均成活,平均随访(10.63±4.66)个月,复查胸部CT或MRI显示巨大脓腔消失,脓胸无复发情况,患侧下肢活动无明显影响结论应用游离股外侧肌皮瓣治疗合并巨大脓腔的慢性脓胸是一种可供选择的理想方法,临床疗效满意。

Objective To evaluate the efficacy of free lateral thigh myocutaneous flap in the treatment of chronic empyema with giant empyema.Methods A total of 6 patients with chronic empyema complicated with huge empyema in our hospital from May 2015 to November 2020 were selected,including 4 males and 2 females,aged from 21 to 63 years old,with an average age of(40.67±18.06)years.By microsurgical technique,the arteries,veins and thoracic dorsal arteries and veins of the lateral myocutaneous flap were anastomosed intermittently to ensure the sufficient blood supply of the free myocutaneous flap.Results All the free myocutaneous flaps survived after operation.The mean follow-up period was(10.63±4.66)months.The chest CT or MRI showed that the huge empyema cavity disappeared,there was no recurrence of empyema,and there was no significant effect on the activity of the affected lower extremities.Conclusion The free lateral thigh myocutaneous flap is an ideal method for the treatment of chronic empyema with huge empyema,and the clinical effect is s«itisfactory.