ĐẶC ĐIỂM LÂM SÀNG, VI KHUẨN HỌC KHUYẾT HỔNG PHẦN MỀM THÀNH NGỰC TẠI VIỆN BỎNG QUỐC GIA VIỆT NAM

Abstract

Introduction: The treatment of chest wall defects depends on various factors, among which the characteristics of the lesion and microbiological findings play a crucial role in formulating an effective therapeutic strategy. Objective: To describe the clinical and microbiological characteristics of soft tissue defects of the chest wall. Subjects and Methods:This was a cross-sectional descriptive study conducted on 18 patients with soft tissue defects of the chest wall who underwent surgical treatment using a pedicled latissimus dorsi musculocutaneous flap at the Vietnam National Burn Hospital from January 2008 to September 2014. Results: The most affected age group was 56–78 years, accounting for 66.67% (10/18) of cases. The predominant cause of chest wall soft tissue defects was sequelae of radiation therapy, representing 88.89% of cases. Most defects involved the loss of both skin and subcutaneous tissue. The average defect area was 67.03 ± 7.72 cm². The most commonly isolated microorganisms from the defect sites were Pseudomonas aeruginosa (44.45%) and Staphylococcus aureus (22.22%). Conclusion: Radiation therapy sequelae were the leading cause of chest wall defects. Clinically, the defects varied in terms of severity, size, and surface area. The predominance of P. aeruginosa and S. aureus provides an important basis for early empirical antibiotic selection prior to definitive culture and sensitivity results.