Denis-Browne切口治疗动脉导管未闭21例

目的 探讨Denis-Browne切口(腋下直切口)在动脉导管手术中的临床应用价值。方法 左腋中线纵行小直切口。经第四肋间进胸腔，游离动脉导管，二至三道丝线结扎。并对手术野显露、手术时间、并发症、美观等方面进行总结。结果 治疗21例，手术野显露良好。无手术死亡，无再通病例。结论 该切口隐蔽、美观、组织损伤小，术后胸疼、肩关节活动障碍明显减轻，适用于小儿、成人病例。

Denis-Browne''''s incision for the repair of persistent ductus arteriosus: a report of 21 cases

Objective: To evaluate the clinical value of Denis Browne's incision in patent ductus arteriosus(PDA) Methods: From 1998 5 to 2003, 3, 21 patients suffering PDA were operated by Denis Browne's access(vertical subaxillary incision) technique through the left subaxillary 4rd interspace 5 0-7 0cm, with all the cases via intrapleural approach The operative required surgical time, surgical field exposure, complication, postoperative pain and, cosmetic and surgical results were compared with those of the conventional PDA operation Results: All patients were operated successfully without any complication. They had full shoulder girdle movements in the immediate postoperative period Conclusion: The incision yields adequate fields of operative with minim surgical trauma and is a safe and simplified surgical technique The scar is less visible with a satisfactory cosmetic result