论文部分内容阅读
目的探讨带蒂肋间肌瓣移植在预防肺癌全肺切除术后支气管胸膜瘘(BPF)的应用价值。方法回顾性分析78例全肺切除术(A组);135例全肺切除术(B组),常规用带蒂肋间肌瓣移植覆盖加固支气管残端。统计分析比较两组患者术后BPF发生情况。结果术后发生BPFA组4例(5.1%),B组为0例(0%);两组比较差异有统计学意义(P<0.05)。结论在肺癌全肺切除术中,常规带蒂肋间肌瓣移植覆盖加固支气管残端是降低肺癌全肺切除术后BPF的有效方法之一,其操作简单,安全性好,值得推广应用。
Objective To investigate the value of pedicled intercostal muscle flap transplantation in the prevention of bronchopleural fistula (BPF) after pneumonectomy for lung cancer. Methods A total of 78 cases of pneumonectomy (group A) and 135 cases of pneumonectomy (group B) were retrospectively analyzed. The pedicled intercostal muscle flap was used to cover and strengthen the bronchial stump. Statistical analysis of two groups of patients after the occurrence of BPF. Results There were 4 cases (5.1%) in BPFA group and 0 cases (0%) in B group after operation. There was significant difference between the two groups (P <0.05). Conclusion In the whole pneumonectomy for lung cancer, conventional pedicle intercostal muscle flap transplantation and reinforcement of bronchial stump is one of the effective ways to reduce BPF after pneumonectomy for lung cancer. It is simple, safe and worthy of popularization and application.