中国现代医学杂志
中國現代醫學雜誌
중국현대의학잡지
CHINA JOURNAL OF MODERN MEDICINE
2003年
19期
47-50,54
,共5页
袁顺达%周军庆%崔健%王时晓%喻光懋%魏德胜%何斌军%周伟军%王海勇%王松祥
袁順達%週軍慶%崔健%王時曉%喻光懋%魏德勝%何斌軍%週偉軍%王海勇%王鬆祥
원순체%주군경%최건%왕시효%유광무%위덕성%하빈군%주위군%왕해용%왕송상
胸部%小切口%胸腔手术
胸部%小切口%胸腔手術
흉부%소절구%흉강수술
Thorax%Small Incision%Chest surgery
目的:为了改进传统的开胸手术切口,减少手术创伤,探索小切口在胸部手术中的应用价值.方法:采用保留胸壁肌肉、不切除肋骨的胸部小切口(切口平均长度12.5cm)及胸骨下段小切口(切口长度7cm),对203例胸心疾病的患者施行了肺叶切除、肺楔形切除、肺癌根治、纵隔肿瘤摘除、脓胸清创、血胸止血清创及纤维板剥离、动脉导管结扎、食管良性疾病等常见胸心外科手术,胸部小切口组与同期传统标准开胸切口手术组203例,作手术切口大小、术中失血量、术后胸腔引流量、术后止痛药应用、术后输血量、术后平均住院日等做比较.结果:203例病人术中未发生严重并发症,切口小,出血少,输血少,术后恢复快(P<0.001).结论:由于手术切口小,不切断胸壁肌肉,年轻病人不切除肋骨,创伤小,出血少,愈合快,美观;术后术侧上肢活动及肩关节功能影响小、恢复快.
目的:為瞭改進傳統的開胸手術切口,減少手術創傷,探索小切口在胸部手術中的應用價值.方法:採用保留胸壁肌肉、不切除肋骨的胸部小切口(切口平均長度12.5cm)及胸骨下段小切口(切口長度7cm),對203例胸心疾病的患者施行瞭肺葉切除、肺楔形切除、肺癌根治、縱隔腫瘤摘除、膿胸清創、血胸止血清創及纖維闆剝離、動脈導管結扎、食管良性疾病等常見胸心外科手術,胸部小切口組與同期傳統標準開胸切口手術組203例,作手術切口大小、術中失血量、術後胸腔引流量、術後止痛藥應用、術後輸血量、術後平均住院日等做比較.結果:203例病人術中未髮生嚴重併髮癥,切口小,齣血少,輸血少,術後恢複快(P<0.001).結論:由于手術切口小,不切斷胸壁肌肉,年輕病人不切除肋骨,創傷小,齣血少,愈閤快,美觀;術後術側上肢活動及肩關節功能影響小、恢複快.
목적:위료개진전통적개흉수술절구,감소수술창상,탐색소절구재흉부수술중적응용개치.방법:채용보류흉벽기육、불절제륵골적흉부소절구(절구평균장도12.5cm)급흉골하단소절구(절구장도7cm),대203례흉심질병적환자시행료폐협절제、폐설형절제、폐암근치、종격종류적제、농흉청창、혈흉지혈청창급섬유판박리、동맥도관결찰、식관량성질병등상견흉심외과수술,흉부소절구조여동기전통표준개흉절구수술조203례,작수술절구대소、술중실혈량、술후흉강인류량、술후지통약응용、술후수혈량、술후평균주원일등주비교.결과:203례병인술중미발생엄중병발증,절구소,출혈소,수혈소,술후회복쾌(P<0.001).결론:유우수술절구소,불절단흉벽기육,년경병인불절제륵골,창상소,출혈소,유합쾌,미관;술후술측상지활동급견관절공능영향소、회복쾌.
Objective:To improve upon traditional thoracic incision and to lessen surgical impairment, the application of thoracic small incision to thoracic surgery was explored. Methods:Minimal incision was applied either with thoracic muscles in reserve (average length of incision was 10±3cm),or from the lower part of sternum(average length was 7cm).To 203 cases of thoracic and cardiovascular diseases, who were administered with series of common thoracic surgical treatments,pulmonary wedge resection and lobectomy, lung cancer radical resection, extirpation of mediastinum neoplasm, depuration of purulent thorax and ablation of fibrous plate, ligation of patent ductus arteriosus and therapy of esophageal benign disease. Results:There were no complications occurred in the 203 cases in operation or after operation. The incision was small and the patients were recuperated rapidly.Conclusions:As a result of micro incision, without transecting muscles, and without amputating ribs in young patients, the surgery wound was slight with few quantity of bleeding, the incision was small and fine, the movement of upper limbs and function of shoulder joints were influenced slightly and reactivated soon.