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采用丙烯酸树脂球行骨膜外肺松解术及填充术治疗空洞型肺结核45年后并发症的外科治疗

Surgical treatment of complications 45 years after extraperiosteal pneumonolysis and plombage using acrylic resin balls for cavitary pulmonary tuberculosis.

作者信息

Thomas G E, Chandrasekhar B, Grannis F W

机构信息

Department of General Oncologic Surgery, City of Hope National Medical Center, Duarte, CA 91010, USA.

出版信息

Chest. 1995 Oct;108(4):1163-4. doi: 10.1378/chest.108.4.1163.

DOI:10.1378/chest.108.4.1163
PMID:7555133
Abstract

An infected axillary sinus tract discharged balls made of an acrylic resin consisting essentially of polymerized methyl methacrylate (Lucite) 45 years following performance of an extraperiosteal pneumonolysis and Lucite ball plombage for collapse therapy of right upper lobe cavitary tuberculosis. Surgical extraction of the balls was performed, followed by a partial decortication of the lung and intrathoracic transposition of a pectoralis major muscle flap to fill the residual pleural space. Primary healing was attained, and the patient is well 1 1/2 years after surgery.

摘要

在为右上叶空洞性肺结核行骨膜外肺松解术及用丙烯酸树脂球(主要由聚合的甲基丙烯酸甲酯制成,即璐彩特)填充治疗 45 年后,一个受感染的腋窝窦道排出了这些球状物。进行了球状物的手术摘除,随后对肺进行了部分剥脱,并将胸大肌瓣进行胸腔内转位以填充残留的胸膜腔。伤口一期愈合,患者术后 1 年半情况良好。

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