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目的探讨肺癌术后胸腔感染胸腔留置浸洗治疗的疗效,并与传统胸腔冲洗方法进行比较。方法选取2003年至2011年收治的44例肺癌手术后胸腔感染患者,根据其治疗方法的不同分为胸腔留置浸洗组和胸腔冲洗组,每组各22例患者。观察两种治疗方法的疗效。结果胸腔留置浸洗组22例患者治愈率100%,无长期保留胸腔闭式引流;胸腔冲洗组22例患者除1例因肿瘤转移死亡外,均治愈,无长期保留胸腔闭式引流,两组患者住院时间比较差异有统计学意义(P<0.05)。结论应用胸膜腔留置浸洗治疗技术,采用敏感抗生素或灭菌药物配置的溶液,可彻底消除残腔内壁的感染病灶,感染残腔变为灭菌残腔而达到临床治愈,避免胸廓改形术等致残性创伤手术或长期保留胸腔引流,显著提高了肺切除术后难治性胸腔感染的临床治愈率,具有广泛的临床应用价值。
Objective To investigate the curative effect of postoperative thoracic indwelling dipping in patients with postoperative lung cancer and to compare with the traditional thoracic irrigation method. Methods Forty-four patients with pleural infection after lung cancer surgery from 2003 to 2011 were divided into thoracic cavity indwelling group and thoracic irrigating group according to the method of treatment. Twenty-two patients in each group. Observed the efficacy of the two treatment methods. Results Thoracic indwelling group of 22 patients with cure rate of 100%, no long-term retention of thoracic drainage; thoracic rinse group 22 patients except one died of tumor metastasis, were cured, no long-term retention of thoracic closed drainage, two groups There was significant difference in hospitalization time (P <0.05). Conclusion The technique of pleural cavity indwelling dipping treatment can effectively eliminate the infected lesion in the inner wall of the residual cavity by using the solution of sensitive antibiotics or sterilized drugs. The infected residual cavity becomes sterile residual cavity to achieve clinical cure, avoiding thoracic deformity And other disabling trauma surgery or long-term retention of chest drainage, significantly increased the clinical cure rate of refractory chest infection after pneumonectomy, has a wide range of clinical value.