Aspergillus thoracic empyema treated with single stage cavernostomy and myoplasty
- VernacularTitle:胸廓改形术加转移带蒂肌瓣一期手术治疗曲菌性脓胸
- Author:
Wenlong SHAO
;
Xiangyang CHENG
;
Bing WEI
;
Weiqiang YIN
;
Jun LIU
;
Jianxing HE
- Publication Type:Journal Article
- Keywords:
Aspergillus;
Thoracic empyema;
Myoplasty;
Cavernostomy
- From:
Chinese Journal of Postgraduates of Medicine
2006;0(14):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the therapeutic effect of single stage cavernostomy and myoplasty on the aspergillus thoracic empyema. Method Four patients suffering from aspergillus thoracic empyema were treated with single stage cavernostomy and myoplasty. They got the inflammation of aspergillus after the operation for tuberculosis in 2, bronchiectasis in 1 and lung cyst in 1. They were performed rib resection, cavernostomy, closure of the bronchial openings and total/partial obliteration of the cavity with a muscle flap as a single stage technique. Pectoralis major muscle was used for the myoplasty in 1, latissimus dorsi in 1 and intercostal muscle in 2. All patients were given the therapy of nutritional support, local pressure dressing and oral anti-fungus drugs. Result Two patients got the primary healing, the chest tube were pulled out 2 days later and they were discharged 12 days after the operation. One patient′s cavity became little and there was pus drained from the chest tube, he cured after prolonged draining and washed with the anti-fungus drugs. One patient dead for pneumonia 67 days after the operation. Conclusion Cavernostomy and myoplasty as a single stage technique is safe and reliable in the management of patients with aspergillus thoracic empyema.
