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使用背阔肌肌皮瓣治疗慢性支气管胸膜瘘和复发性脓胸：病例报告及文献综述

Treatment of chronic bronchopleural fistula and recurrent empyema using a latissimus dorsi myocutaneous flap: a case report and literature review.

作者信息

Kang Byungkwon, Myung Yujin

机构信息

Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.

出版信息

Arch Plast Surg. 2021 Sep;48(5):494-497. doi: 10.5999/aps.2020.02516. Epub 2021 Sep 15.

DOI:10.5999/aps.2020.02516
PMID:34583433
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8490116/
Abstract

Bronchopleural fistula is a severe complication with a high mortality rate that occurs after pulmonary resection. Several treatment options have been suggested; however, it is a challenge to treat this condition without recurrence or other complications. In this case report, we describe the successful performance of a pedicled latissimus dorsi myocutaneous flap transfer, with no recurrence or donor site morbidity.

摘要

支气管胸膜瘘是肺切除术后发生的一种严重并发症，死亡率很高。已经提出了几种治疗方案；然而，治疗这种疾病而不复发或出现其他并发症是一项挑战。在本病例报告中，我们描述了带蒂背阔肌肌皮瓣转移术的成功实施，无复发且供区无并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/112b/8490116/43b216153a9c/aps-2020-02516f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/112b/8490116/303059cc3e01/aps-2020-02516f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/112b/8490116/3a04202dc3ba/aps-2020-02516f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/112b/8490116/43b216153a9c/aps-2020-02516f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/112b/8490116/303059cc3e01/aps-2020-02516f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/112b/8490116/3a04202dc3ba/aps-2020-02516f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/112b/8490116/43b216153a9c/aps-2020-02516f3.jpg

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Treatment of chronic bronchopleural fistula and recurrent empyema using a latissimus dorsi myocutaneous flap: a case report and literature review.使用背阔肌肌皮瓣治疗慢性支气管胸膜瘘和复发性脓胸：病例报告及文献综述
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本文引用的文献

1
Treatment of Tuberculous Empyema by Intrathoracic Transposition of a Latissimus Dorsi Muscle Flap.背阔肌肌瓣胸廓内移位治疗结核性脓胸
Arch Plast Surg. 2016 Jan;43(1):117-9. doi: 10.5999/aps.2016.43.1.117. Epub 2016 Jan 15.
2
The development of bronchopleural fistula in lung cancer patients after major surgery: 31 years of experience with 19 cases.肺癌患者大手术后支气管胸膜瘘的发展：19 例 31 年经验。
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Pedicled latissimus dorsi muscle flap: routine use in high-risk thoracic surgery.
带蒂背阔肌肌皮瓣：在高风险胸外科手术中的常规应用。
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HEALING OF THE BRONCHIAL STUMP AFTER PULMONARY RESECTION.
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The incidence, etiology, and prevention of postresectional bronchopleural fistula.肺切除术后支气管胸膜瘘的发病率、病因及预防
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Intrathoracic muscle flaps. An account of their use in the management of 100 consecutive patients.胸内肌瓣。连续100例患者应用情况报告。
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Open-window thoracostomy in pleural empyema.胸膜腔积脓的开窗胸廓造口术
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Bronchopleural fistulas associated with lung cancer operations. Univariate and multivariate analysis of risk factors, management, and outcome.与肺癌手术相关的支气管胸膜瘘。危险因素、管理及结局的单因素和多因素分析。
J Thorac Cardiovasc Surg. 1992 Nov;104(5):1456-64.