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目的对带蒂肋间肌肉瓣加固支气管残端应用于支气管胸膜瘘(BPF)防治的效果进行分析和总结。方法随机选择我院于2014-05-2016-05收治肺癌手术患者60例,并将其分成观察组与对照组。前者采用带蒂肌瓣移植覆盖加固支气管残端,后者采用常规残端进行处理,比较两组术后支气管胸膜瘘的发生率。结果术后,观察组的BPF发生率为3.33%,对照组的发生率为13.33%,两者比较差异显著(P<0.05)。结论采用带蒂肋间肌瓣加固支气管残端,可有效降低支气管胸膜瘘的发生率。提高治疗效果。
Objective To analyze and summarize the effect of pedicled intercostal muscle flap on the prevention and treatment of bronchial pleural fistula (BPF). Methods A total of 60 patients with lung cancer admitted to our hospital from 2014-05-2016-05 were randomly selected and divided into observation group and control group. The former use of pedicled muscle flap to cover the reinforcement of bronchial stump, the latter treated with conventional stump, the incidence of postoperative bronchopleural fistula were compared. Results Postoperatively, the incidence of BPF in the observation group was 3.33%, while that in the control group was 13.33%. There was significant difference between the two groups (P <0.05). Conclusion The use of pedicled intercostal muscle flap to stabilize bronchial stump can effectively reduce the incidence of bronchopleural fistula. Improve the treatment effect.