真空辅助关闭治疗与慢性脓胸腔内转位肌瓣动态体积变化的关系:1例报告。

IF 1.1 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-04-20 DOI:10.5761/atcs.cr.19-00235
Kensuke Kojima, Tetsuki Sakamoto, Teiko Sakurai, Yuriko Yagi, Tomoki Utsumi, Hyungeun Yoon
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引用次数: 0

摘要

一名62岁女性因肺癌行肺切除术,因咳嗽进行性加重而入院。她被诊断为慢性脓胸伴支气管胸膜瘘(BPF)右上支气管残端。虽然带蒂肌瓣转置到脓胸腔,瘘管仍然存在。我们在开窗开胸后采用真空辅助封闭系统,观察转置肌瓣扩张后的腔缩小情况。我们使用三维图像分析系统定量评估了腔体变化的动力学。在真空辅助治疗后立即观察到肌瓣的体积因延长脓胸和扩张而减少。但未发现右残肺扩张。开窗开胸后带蒂肌瓣转位加真空辅助处理可有效治疗BPF引起的慢性脓胸。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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The Association of Vacuum-Assisted Closure Therapy with Dynamic Volume Change of a Muscle Flap Transposed in an Empyema Cavity for Chronic Empyema: A Case Report.

A 62-year-old woman with a history of lung resection for lung cancer was admitted to our hospital due to cough, which became progressively more severe. She was diagnosed with chronic empyema with bronchopleural fistula (BPF) of the right upper bronchial stump. Although a pedicled muscle flap was transposed to the empyema cavity, the fistula remained. We used a vacuum-assisted closure system after open-window thoracotomy and observed the cavity reduction with expansion of the transposed muscle flap. We quantitatively evaluated the dynamics of the cavity change using a three-dimensional image analysis system. A reduction of the volume of the muscle flap by prolonged empyema and expansion of the muscle flap was observed immediately after vacuum-assisted management. However, expansion of the right residual lung was not recognized. Pedicled muscle flap transposition followed by vacuum-assisted management after open-window thoracotomy may be effective for treating chronic empyema caused by BPF.

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来源期刊
Annals of Thoracic and Cardiovascular Surgery
Annals of Thoracic and Cardiovascular Surgery CARDIAC & CARDIOVASCULAR SYSTEMS-SURGERY
CiteScore
2.80
自引率
0.00%
发文量
56
审稿时长
4-8 weeks
期刊介绍: Information not localized
期刊最新文献
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