[1]金锋,王成,刘景亮,等.腋下垂直小切口在肺部手术中的应用[J].中国微创外科杂志,2005,05(3):242-245.
　Jin Feng,WangCheng,Liu Jingliang,et al.Application of subaxillary vertical small incision in lung operations[J].Chinese Journal of Minimally Invasive Surgery,2005,05(3):242-245.
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腋下垂直小切口在肺部手术中的应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
05
期数:
2005年3期
页码:
242-245
栏目:
出版日期:
2005-03-31

文章信息/Info

Title:
Application of subaxillary vertical small incision in lung operations
作者:
金锋; 王成; 刘景亮; 杨宝岭
山东省胸科医院胸外科,济南,250013
Author(s):
Jin Feng;  WangCheng;  Liu Jingliang;  etal.
Department of Thoracic Surgery, Shandong Chest Hospital, Jinan 250013, China
关键词:
腋下小切口; 肺部手术
Keywords:
Subaxillary small incision; 　Pulmonary surgery
分类号:
R655.3
文献标志码:
A
摘要:
目的探索腋下垂直小切口在肺部手术中的应用. 方法对我院1996年12月～2003年6月采用腋下垂直小切口行680例肺切除的临床资料进行回顾性分析. 结果切口长度8～13 cm,平均11.2 cm.开胸时间4.5～10 min,平均6 min.手术时间50 ～170 min,平均135 min.术中出血量100～1 200 ml,平均350 ml.术后引流量120～800 ml,平均300 ml.围术期输血量0～1 400 ml,平均300 ml.术后疼痛分级:1级585例,2级60例,3级35例.术后住院10～21 d,平均14 d.无手术死亡. 结论腋下垂直小切口操作简单,创伤小,出血少,手术后疼痛轻,恢复快,切口隐匿,可在大多数肺切除手术中应用.
Abstract:
Objective　To explore the improvement of traditional incision in thoracotomy and the application of subaxillary vertical small incision in lung operations.　M ethods　We carried outa retrospective analysis on documents of680 cases of subaxillary vertical small incision pneumonectomy conducted in this hospital between December 1996 and June 2003.　Results　The length of incision was 8~13 cm (mean, 11·2 cm). The time for thoracotomy was 4·5~10 min (mean, 6 min) and the operation time was 50~170 min (mean, 135min). The intraoperative blood losswas100~1200ml(mean, 350ml), the postoperative drainage volume was 120~800 ml (mean, 300 ml), and the perioperative blood transfusion, 0 ~1400 ml (mean, 300 ml). Postoperative pain classification results revealed that 585 cases of grade 1, 60 cases of grade 2 and 35 cases of grade 3 severity were observed. The postoperative hospital staywas 10~21 days (mean, 14 days). No surgicaldeath occurred.　Conclusions　Subaxillary vertical small incision can be simplymade. It offersminimal invasion, less blood loss, mild postoperative pain, quick recovery and good cosmetic results, being a viable option inmost operations of pneumonectomy.

参考文献/References:

[1]谢军,崔继承,江曙光.腋下小切口在胸部外科手术中的应用.徐州医学院学报,2003,23:589-590.
[2]Khan IH, McManus KG, McCraith A, et al. Muscle sparing thoracotomy: a biomechanical analysis confirms preservation of muscle strength but no improvement in wound discomfort. Eur J Cardiothorac Surg, 2000,18:656-661.
[3]杨跃,叶国经,田欣,等.腋下小切口在肺部手术中的应用.中国胸心血管外科杂志,1995,5:21-22.
[4]Claeys D, Flamme A, Vanoverbeke H, et al. Muscle-saving lateral axillary thoracotomg. Acta Chir Belg, 1995,95:27-30.
[5]钟镭,徐志飞,孙耀昌,等.腋下垂直小切口行肺切除术. 中国胸心血管外科杂志,2004,11:153-154.
[6]孟伟. 疼痛三阶梯药物治疗的临床观察.现代康复,2001,5(9):90.
[7]崔玉尚,张志庸,侯夏宝,等.气胸治疗的手术方式比较.中国微创外科杂志,2003,3:224-226.
[8]梁庆正,王书才,张智明.腋下小切口在肺结核外科治疗中的应用.中国防痨杂志,2004,22:239-240.
[9]贺榜福,林辉,梁胜景,等.腋下小切口在原发性肺癌手术中的应用.临床肿瘤学杂志,2004,9:388-390.
[10]李剑锋,王俊,宋言峥,等.保留胸肌切口在胸外科的应用价值.中华胸心血管外科杂志,2000,16:300-301.

备注/Memo

备注/Memo:
基金项目：山东省卫生厅青年科学研究基金资助课题(编号:96-77)
更新日期/Last Update: 2014-03-11