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支气管袖状切除术在支气管及肺疾病治疗中的应用
引用本文:张振和,郝兴家,刘国津,纪振东,范恩学,刘桂英.支气管袖状切除术在支气管及肺疾病治疗中的应用[J].吉林大学学报(医学版),1986(6).
作者姓名:张振和  郝兴家  刘国津  纪振东  范恩学  刘桂英
作者单位:白求恩医科大学第一临床学院胸外科 (张振和,郝兴家,刘国津,纪振东,范恩学),白求恩医科大学第一临床学院胸外科(刘桂英)
摘    要:本文介绍我院近年来施行支气管袖状切除术15例,其中支气管肺癌12例,外伤性主支气管断裂伤3例。施行支气管肺叶切除12例,支气管切除3例。术后近期效果良好,无手术死亡、吻合口瘘或严重支气管狭窄。6例术后发生肺不张,经及时治疗好转。本文对术前检查、手术适应症、术中注意事项及术后护理进行了讨论。

关 键 词:支气管袖状切除术  支气管成形术  支气管油状肺叶切除术

Using bronchial sleeve resection in surgical management of bronchial and pulmonary diseases
Zhang Zhenhe,Hao Xingjia,Liu Guojin,Ji Zhendong,Fan Enxie and Liu Guiying.Using bronchial sleeve resection in surgical management of bronchial and pulmonary diseases[J].Journal of Jilin University: Med Ed,1986(6).
Authors:Zhang Zhenhe  Hao Xingjia  Liu Guojin  Ji Zhendong  Fan Enxie and Liu Guiying
Abstract:Bronchial sleeve resection were performed in 15 patients from 1982 through 1986.The diseases managed were bronchogenic carcinoma (12 cases) and traumatic rupture of the bronchi ( 3 cases) .Sleeve resection of the right upper lobe was performed in 12 cases; segmental resection of the right and left bronchi was performed in 2 and 1 cases respectively.The pathological diagnoses of the specimens were squamous cell carcinoma in 8 cases, adenocarcinoma in 2 , small cell carcinoma in 1 and undifferentiated carcinoma in 1 .Interrupted whole layer suturing with" No. 1 silk was employed in 14 patients and No. 2 silk in one case.There were no postoperative complicatons in this group, such as fistula, stenosis of bronchus or mortality.Six patients developed postoperative pulmonary atelectasis but recovered after appropriate treatment.
Keywords:Sleeve resection Bronchial resection Bronchoplasty Lobectomy
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