[1]曾嘉航,刘威*,梁建华,等.疝针在胸腔镜膈肌手术中的应用[J].中国微创外科杂志,2017,17(10):945-948.
　Zeng Jiahang,Liu Wei,Liang Jianhua,et al.Application of Modified Hernia Repair Needle in Thoracoscopic Diaphragmatic Surgery[J].Chinese Journal of Minimally Invasive Surgery,2017,17(10):945-948.
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疝针在胸腔镜膈肌手术中的应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
17
期数:
2017年10期
页码:
945-948
栏目:
技术改进
出版日期:
2017-10-20

文章信息/Info

Title:
Application of Modified Hernia Repair Needle in Thoracoscopic Diaphragmatic Surgery
作者:
曾嘉航; 刘威*; 梁建华; 李乐
广州市妇女儿童医疗中心胸外科，广州510120
Author(s):
Zeng Jiahang;  Liu Wei;  Liang Jianhua;  et al.
Department of Thoracic Surgery, Guangzhou Women and Children’s Medical Center, Guangzhou 510120, China
关键词:
膈疝; 膈膨升; 疝针
Keywords:
Diaphragmatic hernia; Diaphragmatic eventration; Hernia repair needle
文献标志码:
B
摘要:
目的探讨疝针在胸腔镜膈肌手术的应用技巧与实用性。方法2015年11月~2016年2月，在胸腔镜治疗胸壁膈肌缺损型膈疝4例、膈膨升2例中，应用疝针行膈疝直接缝合、补片缝合，或膈肌折叠间断缝合。结果全部手术顺利，术后机械辅助通气时间4~92 h，中位数5 h。2例膈疝放置胸腔引流管，术后2天拔管。1例膈膨升有少量胸腔积液。出院前均复查胸片及B超，未见异常。随访1~3个月，未见复发。结论利用疝针可以在胸腔镜下完成胸壁膈肌缺损的膈疝修补和膈肌折叠术。
Abstract:
ObjectiveTo explore the application skills and practicality of the hernia needle in diaphragm surgery.MethodsThoracoscopic diaphragmatic surgery was conducted in 4 cases of diaphragmatic hernia with chest wall diaphragmatic defect and 2 cases of diaphragmatic eventration from November 2015 to February 2016 in our hospital. By using the hernia needle, direct suture close, patch repair, or diaphragmatic folding and interrupted suture were carried out.ResultsAll the operations were successful, with a postoperative mechanical ventilation time of 4-92 hours(median,5 h). The chest tube drainage was applied in 2 cases, and was removed after 2 days. Mild pleural effusion happened in 1 case of diaphragmatic eventration. The X-ray and ultrasound showed no abnormalities before discharge. Follow-ups for 1-3 months showed no recurrence.ConclusionThoracoscopic repair with hernia needle for chest wall diaphragmatic defect diaphragmatic hernia and diaphragmatic plication is simple to perform.

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备注/Memo

备注/Memo:
*通讯作者，E-mail：329599811@qq.com
更新日期/Last Update: 2018-01-11