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胸廓成形术后并发皮肤伤口坏死的支气管胸膜瘘的处理

Management of Bronchopleural Fistula Complicated by Skin Wound Necrosis after Thoracomyoplasty.

作者信息

Divisi Duilio, Barone Mirko, Zaccagna Gino, Di Francescantonio William, Crisci Roberto

机构信息

Department of Thoracic Surgery, "G. Mazzini" Hospital, University of L'Aquila, Piazza Italia 1, Teramo, Italy.

出版信息

Plast Reconstr Surg Glob Open. 2017 Jan 25;5(1):e1193. doi: 10.1097/GOX.0000000000001193. eCollection 2017 Jan.

Abstract

Skin necrosis is a rare complication after thoracomyoplasty and usually needs conservative treatment. We described positive findings with surgical approach. A 54-year-old man showed bronchopleural fistula after undergoing right pneumonectomy for lung cancer, treated with thoracomyoplasty. On the 20th postoperative day, a skin wound lesion was noted, whose deterioration required a skin flap transposition. Patient was discharged from hospital on the 7th postoperative day and did not show relapse at the 7th year follow-up. Surgery can be the most viable alternative to medical treatments in the management of a chest wall cutaneous complication even in high-risk patients.

摘要

皮肤坏死是胸廓成形术后一种罕见的并发症,通常需要保守治疗。我们描述了手术治疗的阳性结果。一名54岁男性因肺癌接受右肺切除术后出现支气管胸膜瘘,接受了胸廓成形术治疗。术后第20天,发现皮肤伤口病变,其恶化需要进行皮瓣转移术。患者术后第7天出院,在7年随访中未出现复发。即使对于高危患者,手术也可能是治疗胸壁皮肤并发症最可行的替代医学治疗的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bddb/5293294/bb08d0175c45/gox-5-e1193-g001.jpg

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