Clinical efficacy of plastic surgery and wound healing to repair the wounds of chest wall tuberculosis

VernacularTitle:创面愈合技术联合整形手术治疗胸壁结核性创面的临床疗效
Author: Xiaowu LYU ; Yajie ZHANG ; Shengjuan FENG ; Yuanyuan ZHANG ; Yujia WU ; Pengcheng LI ; Bing SHI ; Zhen LIU ; Chiyu JIA
Keywords: Tuberculosis; Chest wall; Wound; Wound healing; Plastic surgery
From: Chinese Journal of Medical Aesthetics and Cosmetology 2016;22(6):345-347
CountryChina
Language:Chinese
Abstract: Objective To treat complex wounds of the chest wall tuberculosis by the use of wound healing techniques (focal debridement + the VSD) and joint plastic surgery (transfer of skin flap, skin graft, flap stuffing, etc) and to explore the clinical features of the tuberculous chest wound, the feasibility and effectiveness of treatments.Methods Clinical data of 11 hospitalized patients with chest wall tuberculosis were collected during 2012-2014.The therapeutic effect, intraoperative and postoperative complications, and postoperative follow-up were retrospectively analyzed.Results Among 7 cases using lesion debridement, VSD suction drainage and local flap repair (skin grafting), 6 cases were cured.The response rate was 90.9%.All 4 cases using debridement and local flap repair (skin grafting) were cured.Only one case of recurrence was observed during the follow-up period of 3-34 months.Conclusions Using of wound healing techniques with plastic surgery is an effective treatment, which has good therapeutic effect on the wound deeply infiltrated.