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胸壁结核92例外科治疗体会
引用本文:张孝国,陈有,艾航宇,薛斌. 胸壁结核92例外科治疗体会[J]. 川北医学院学报, 2011, 0(5): 411-413
作者姓名:张孝国  陈有  艾航宇  薛斌
作者单位:凉山州第二人民医院外一科,四川西昌,615000;盐源县人民医院外科,四川盐源,615700
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...

关 键 词:胸壁结核  外科治疗  病灶清除术

Experience on Surgical Treatment of 92 Cases of Thoracic Tuberculosis
ZHANG Xiao-guo,CHEN You,AI Hang-yu,XUE Bin. Experience on Surgical Treatment of 92 Cases of Thoracic Tuberculosis[J]. Journal of North Sichuan Medical College, 2011, 0(5): 411-413
Authors:ZHANG Xiao-guo  CHEN You  AI Hang-yu  XUE Bin
Affiliation:1.The Department of Surgiery,The Second People’s Hospital of Liangshan,Xichang,Sichuan 615000;2.The Department of Surgiery,The People’s Hospital of Yanyuan,Yanyuan,Sichuan 615700)
Abstract: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
Keywords:Thoracic tuberculosis  Surgical treatment  Debridement
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