Nagata Y, Kato S, Nogaki H, Tsuchioka H
Kyobu Geka. 1989 Dec;42(13):1101-4.
We present two patients who underwent the omental pedicle flap method for bronchopleural fistula. The first case was a 61-year-old man who developed empyema with bronchial fistula due to recurrent tuberculosis resisted to chemotherapy. He underwent complete muscle and omental flap closure of empyema space. The second case was a 63-year-old man who underwent pneumonectomy for adenocarcinoma of the lung. About two weeks after the operation, a bronchopleural fistula developed at the bronchial stump. He underwent complete omental flap closure of fistula. They are doing well 18 and 9 months following operation, respectively. The omental pedicle flap method is clinically useful as a closure method for bronchopleural fistula because of excellent blood supply of the omentum.
我们介绍了两位采用网膜蒂皮瓣法治疗支气管胸膜瘘的患者。第一例是一名61岁男性，因复发性肺结核对化疗耐药而并发脓胸并伴有支气管瘘。他接受了脓腔的完全肌肉和网膜皮瓣闭合术。第二例是一名63岁男性，因肺腺癌接受了肺切除术。术后约两周，支气管残端出现支气管胸膜瘘。他接受了瘘管的完全网膜皮瓣闭合术。他们分别在术后18个月和9个月情况良好。网膜蒂皮瓣法作为支气管胸膜瘘的一种闭合方法在临床上是有用的，因为网膜具有良好的血供。
