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带蒂大网膜移植术治疗慢性脓胸和支气管胸膜瘘的长期观察

Long-term results of pedicled omentum transplantation for the treatment of chronic persistent empyema and bronchopleural fistula.

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【作者】 段明科陈国生王天日王心宽郭杨李占清张宇张书申董驹隋铁泉

【Author】 Duan Mingke,Chen Guosheng,Wang Tianri,et al.Department of Thoracic and Cardiovascular Surgery,the second affiliated hospital of Shan Tou Medical College(063000 Shan Tou)

【机构】 汕头大学医学院第二附属医院胸心外科华北煤炭医学院附属医院胸心外科秦皇岛市山海关区人民医院外科华北煤炭医学院附属医院胸心外科 515041063000河北唐山

【摘要】 目的观察带蒂大网膜移植术治疗 5 8例慢性脓胸和 (或 )支气管胸膜瘘 (BPF)的近、远期效果。方法回顾分析接受带蒂大网膜胸腔内移植术治疗的 5 8例慢性脓胸患者的临床资料。结果无围术期死亡 ,随访 1~ 16年 ,总的手术成功率 93 .1% ,瘘口闭合率 89.5 %。结论该法具有创伤小、出血少 ,术后无严重胸廓和脊柱畸形 ,具有操作简便易行、安全可靠和治愈率高等优点 ,是慢性脓胸和BPF较为理想的治疗方法

【Abstract】 Objective To observe the short and long term outcome of pedicled omentum transplantation for the treatment of chronic persistent empyema and bronchopleural fistula in 58 cases.Methods The clinical data of 58 empyema cases who received pedicled omentum transplantation from November of 1979 to 1996 of December were retrospectively analyzed.Results There was no perioperative death.Follow up ranged from 1 to 16 years.The overall success rate was 93.1% and the closure rate of bronchopleural fistula was 89.5%.Conclusion The pedicled omentum transplantation is a safe and easy procedure for the chronic empyema and bronchopleural fistula,with high cure rate and reliability,which is worth spreading.

  • 【文献出处】 中国综合临床 ,Clinical Medicine of China , 编辑部邮箱 ,2003年01期
  • 【分类号】R655
  • 【被引频次】12
  • 【下载频次】70
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