| 支气管成形术改良的临床探讨 |
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| 引用本文： | 付向宁,张霓,陈启福,张良华.支气管成形术改良的临床探讨[J].华中医学杂志,2003,27(6):287-288. |
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| 作者姓名： | 付向宁 张霓 陈启福 张良华 |
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| 作者单位： | 430030,武汉,华中科技大学同济医学院附属同济医院胸心外科 |
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| 摘 要： | 目的 改进支气管成形术的操作，减少支气管成形术后吻合1：3并发症的发生。方法 对98例中心型肺癌患者应用支气管成形术进行治疗，在此基础上通过降低吻合1：3张力，重建支气管残端以及自体组织包绕吻合1：3等方法对传统操作进行改进。结果 2例术后因吻合口瘘死亡，5例术后1周左右发生吻合口周围感染征象，治疗后痊愈，其余患者均痊愈出院。术后86例随访10-48个月，均无刺激性咳嗽症状。结论 对支气管成形术的改进有效地解决了近远端支气管管径大小不一及管壁厚薄不均的问题，同时简化了手术操作，减少了术后吻合口并发症。
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| 关 键 词： | 支气管成形术 肺肿瘤 临床探讨 并发症 临床研究 病例分析 手术治疗 改良根治性 |
| 修稿时间： | 2003年9月20日 |
Application of bronchoplasty in the treatment of lung cancer |
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| Fu Xiangning,Zhang Ni,Chen Qifu et al.Application of bronchoplasty in the treatment of lung cancer[J].Central China Medical Journal,2003,27(6):287-288. |
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| Authors: | Fu Xiangning Zhang Ni Chen Qifu |
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| Institution: | Fu Xiangning,Zhang Ni,Chen Qifu et al.Department of Cardiothoracic Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030 |
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| Abstract: | Objective To simplify the operative procedure, shorten the operative time, decrease anastomotic complications after bronchoplastic procedures for lung cancer. Methods Between 1998 and 2003, 98 patients with central primary lung cancer underwent bronchoplasty. Results Two patients died of anastomotic dehiscence after operation, 5 subjected to anastomotic infection at first week after procedure and cured. The remaining patients all recovered. No irritating cough occurred during a postoperative follow-up of 10 to 48 months. Conclusion Bronchoplasty is a useful to solve the problems of different sizes and thickness of bronchial wall in both ends of anastomosis. Meanwhile, it can simplify the procedure, shorten the operative time and reduce the complications. |
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| Keywords: | Bronchoplasty Lung Cancer Melioration |
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