持续负压封闭引流-冲洗技术辅助病灶清除术治疗胸壁结核的临床应用

doi:10.3969/j.issn.1000-6621.2014.11.004

中国防痨杂志 ›› 2014, Vol. 36 ›› Issue (11): 941-944.doi: 10.3969/j.issn.1000-6621.2014.11.004

持续负压封闭引流-冲洗技术辅助病灶清除术治疗胸壁结核的临床应用

王海江宁新忠夏照华魏奇峰严耀明马克

518112 广东医学院附属医院深圳市第三人民医院外二科

收稿日期:2014-07-02 出版日期:2014-11-10 发布日期:2014-12-05
通信作者: 王海江 E-mail:whaj2008@163.com

Application of vacuum sealing drainage and focus clearance technique for the treatment of thoracic tuberculosis

WANG Hai-jiang, NING Xin-zhong, XIA Zhao-hua,WEI Qi-feng, YAN Yao-ming, MA Ke

Department of Thoracic Surgery, the 3rd People’s Hospital of Shenzhen, Affiliated Hospital of Guangdong Medical College, Shenzhen 518112, China

Received:2014-07-02 Online:2014-11-10 Published:2014-12-05
Contact: WANG Hai-jiang E-mail:whaj2008@163.com

摘要/Abstract

摘要： 目的探讨持续负压封闭引流-冲洗技术在辅助胸壁结核病灶清除术中应用的疗效。方法回顾性分析2011年3月至2014年3月在深圳市第三人民医院收治的34例溃破型或术后切口感染的胸壁结核患者的临床资料，所有患者行结核病灶清除术，术后持续冲洗负压封闭引流，观察患者的疗效及预后。结果 34例胸壁结核患者，均使用负压封闭引流治疗7～10d，其中1例2次更换负压封闭引流海绵，5例1次更换负压封闭引流海绵至病情痊愈，28 例未再次更换引流海绵。术后32例患者伤口一期愈合，2例伤口部分感染，经换药后治愈，平均随访1年（3～24个月），无结核病灶复发。结论持续负压封闭引流-冲洗技术辅助胸壁结核病灶清除术治疗溃破型胸壁结核，临床疗效满意，是治疗胸壁感染的理想方法之一。

关键词: 脓胸, 结核性/治疗, 引流术

Abstract: Objective To explore the effect of constant vacuum sealing drainage (VSD) and focus clearance among the postoperative patients with thoracic tuberculosis (TB) in the type of ulceration or thoracic wall incision infection conditions. Methods A retrospective analysis of clinical data was performed on 34 patients with thoracic TB who were hospitalized in the 3rd People’s Hospital of Shenzhen and received continuous VSD and focus clearance from March 2011 to March 2014. The effect and prognosis of the patients were analyzed. Results The incision healed in 32 cases while partial wound infection happened in 2 cases (they were cured after dressing change). All cases were cured and no recurrence during the follow-up (an average of one year and a range of 3-24 months). Conclusion The continuous VSD and focus clearance technique can reduce the recurrence of thoracic TB and its clinical effect is satisfied.

Key words: Empyema, tuberculous/therapy, Drainage

王海江，宁新忠，夏照华，魏奇峰，严耀明，马克. 持续负压封闭引流-冲洗技术辅助病灶清除术治疗胸壁结核的临床应用[J]. 中国防痨杂志, 2014, 36(11): 941-944. doi: 10.3969/j.issn.1000-6621.2014.11.004

WANG Hai-jiang, NING Xin-zhong, XIA Zhao-hua,WEI Qi-feng, YAN Yao-ming, MA Ke. Application of vacuum sealing drainage and focus clearance technique for the treatment of thoracic tuberculosis[J]. Chinese Journal of Antituberculosis, 2014, 36(11): 941-944. doi: 10.3969/j.issn.1000-6621.2014.11.004

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持续负压封闭引流-冲洗技术辅助病灶清除术治疗胸壁结核的临床应用

Application of vacuum sealing drainage and focus clearance technique for the treatment of thoracic tuberculosis

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