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7～10 d,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.
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.
出处
《中国防痨杂志》
CAS
2014年第11期941-944,共4页
Chinese Journal of Antituberculosis
关键词
脓胸
结核性/治疗
引流术
Empyema, tuberculous/therapy
Drainage
