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.pdfVIP

中国防妨杂志2014 年11 月第 36 卷第 11 期 Chin J Antitu berc ,November 2014 ,Vo l. 36 ,No. 11 • 941 • ·论著· 持续负压封闭引流一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 E摘要I 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消除术，术后持续冲洗负压封闭寻| 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 持续负压封闭寻| 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，11备床疗效满意，是治疗胸壁感染的理想方法之一。 E关键词】 服胸，结核性/治疗; 引流术 Application of vaclIum sealing drainage and focus c1ear ance techniqlle for the treatment of tboracic tllbcrclllo- sis WANGRω-jiang ， NING Xin- z. hong , XIA Zhao- hua , WEr Qi-feng , YAN Ya萨ming ， lv.tA Ke. Depm.t111.ent 0f 1ìlOmcic Swg町， lhe 3 1l P.ωpte s Hospi的L of Shenzhen , AJfiliated HospitaL of Gua:忧gdong M.edical CoLLege , Shenz/i肌 5 18112 , China .o 7Tesponding auth07 : \1\性NGHa叮iang ， Enωil : wl.以j2008@163. 仰n C ( Abstract Object.ive To explore the effect of constant vacuum seali ng dra inage ( VSD) and focus clearance 挝nong the postoperative pa tients with thoracic tuberculosis (TB) in the type of ulceration or thoracic wall incis ion infection conditions. Methods A retrospective analys is of clinical data was perfonned on 34 patients with thoracic TB who were hosp italized in the 3rd Peoples Hosp ital 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 wOllnd infection happened in 2 cases (they were cured after dressing change) . All cases were cured and no recurrence during