Department of Plastic and Reconstructive Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Ann Thorac Surg. 2010 Jan;89(1):321-3. doi: 10.1016/j.athoracsur.2009.02.094.
Treatment of empyema after pneumonectomy is challenging. We treated 4 patients with postpneumonectomy empyema using a free rectus abdominis myocutaneous flap together with a pedicled pectoralis major muscle flap. The pectoralis major flap was used to fill the apical portion of the cavity, while the rectus abdominis flap was used to fill the caudal portion and occlude any bronchial fistula present. All empyemas were treated successfully without recurrence. This method has the advantage of filling apical and caudal parts of the space at once, making effective use of the combined volume of the two flaps.
肺切除术后脓胸的治疗具有挑战性。我们使用游离腹直肌肌皮瓣联合带蒂胸大肌瓣治疗了 4 例肺切除术后脓胸患者。胸大肌瓣用于填充腔的顶部，而腹直肌瓣用于填充尾部并封闭任何存在的支气管瘘。所有脓胸均成功治愈，无复发。该方法的优点是可以一次性填充空间的顶部和尾部，有效利用两个皮瓣的组合体积。
