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胸壁结核92例外科治疗体会 被引量:6

Experience on Surgical Treatment of 92 Cases of Thoracic Tuberculosis
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摘要 目的:总结胸壁结核的外科治疗方法。方法:对92例手术患者的临床资料进行回顾性分析。结果:切口甲级愈合77例,局部渗出15例,经换药及四联抗结核治疗,12例痊愈,3例有窦道形成,其中2例再次手术治愈,1例第3次手术治愈。随访0.5—15年2,例局部复发。结论:围手术期规范的抗结核治疗,广泛彻底病灶清除,消除残腔,充分引流,加压包扎是治愈胸壁结核的重要措施。 Objective:To summarize the surgical treatment of thoracic tuberculosis.Methods: The data of thoracic tuberculosis operation among 92 cases were reviewed Results: 77 patients were cured by first intention,15 patients with local exudation were treated by change dressing and standard chemotherapy.12 patients were cured,3 patients with sinus formation in which 2 patients were cured by reoperation and 1 patient were cured by third operation.All patients were followed up for 0.5-15 years,local recurrence occurred in 2 patients.Conclusion: Standard anti-TB treatment during perioperative period,elimination of tuberculosis focus and residual cavity,adequate drainage and compression bandage are important measures to cure thoracic tuberculosis
出处 《川北医学院学报》 CAS 2011年第5期411-413,共3页 Journal of North Sichuan Medical College
基金 四川省教育厅课题(09ZB122)
关键词 胸壁结核 外科治疗 病灶清除术 Thoracic tuberculosis Surgical treatment Debridement
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