Alexander P V, Hollands M, O'Rourke I C, Tait N
Department of Surgery, Westmead Hospital, New South Wales, Australia.
Aust N Z J Surg. 1997 Feb-Mar;67(2-3):133-5. doi: 10.1111/j.1445-2197.1997.tb01919.x.
Oesophageal perforations are associated with a high mortality and morbidity. Intrathoracic perforations especially are associated with mediastinitis and sepsis. The repair of these perforations may be difficult, particularly when there has been a delay to diagnosis. We report our use of a method to repair or buttress the suture line after repair with a vascularized intercostal muscle flap, having used it successfully in two patients with intrathoracic oesophageal perforations.
食管穿孔与高死亡率和高发病率相关。尤其是胸内穿孔与纵隔炎和败血症有关。这些穿孔的修复可能很困难，特别是在诊断延迟的情况下。我们报告了一种在使用带血管肋间肌瓣修复后对缝合线进行修复或加强的方法，我们已成功地将其应用于两名胸段食管穿孔患者。
