关键词: 胸廓造口术, 结核性脓胸, 支气管胸膜瘘

Abstract: 【Abstract】 Objective To summarize the experience of open window thoracotomy (OWT) in treating tuberculous empyema associated with bronchopleural fistula. Methods Fifty-six cases of tuberculous empyema with bronchopleural fistula were treated by open window thoracotomy. After 3-12 months of the thoracostomy drainage, the patients underwent operation as follows: Heller thoracoplasty with fistula repair, extrapleural total pneumonectomy resection, residual pneumonectomy, permanent open thoracostomy. Results After an effective control of pleural infection,.36 cases were treated by Heller thoracoplasty with fistula repair,.14 cases were treated by extrapleural pneumonectomy or remaining pulmonary resection and then thoracostomies were closed, in which chest infection occurred again in 5 cases during perioperative period and underwent another thoracostomy,6 patients were treated by permanent open thoracostomy window change dressing and drainage.During the perioperative period,.no death case occurred. Conclusion For the tuberculous empyema associated with bronchopleural fistula,.open window thoracostomy combined with antituberculotic therapy would effectively control pleural infection,.reduce mortality,.and also provide a favorable condition for repairing of fistula and eradication of residual cavity to improve the successful rate of the surgery.

Key words: Thoracostomy, Tuberculous empyema, Bronchopleural fistula