Thingnam S K, Mohite P N, Raju G, Ranade S D, Saklani R
Department of Cardiovascular and Thoracic Surgery, Post Graduation Institute of Medical Education and Research, Chandigarh, India.
Thorac Cardiovasc Surg. 2011 Apr;59(3):169-71. doi: 10.1055/s-0030-1250653. Epub 2011 Apr 8.
Various methods are used to prevent bronchopleural fistula following anatomical lung resection, as bronchopleural fistula constitutes a life-threatening complication. Pleural flaps are less vascularized, whereas an intercostal muscle flap, although well vascularized, does not offer enough strength for repair. We describe here the use of pleural flaps to strengthen a bronchial closure and cover the defect. Subsequently, an intercostal muscle flap is buttressed over the bronchial stump.
由于支气管胸膜瘘是一种危及生命的并发症，因此在解剖性肺切除术后会采用多种方法来预防支气管胸膜瘘。胸膜瓣的血管化程度较低，而肋间肌瓣虽然血管化良好，但修复强度不足。我们在此描述使用胸膜瓣加强支气管闭合并覆盖缺损。随后，在支气管残端上支撑一个肋间肌瓣。
