| 改良支气管残端闭合法对支气管胸膜瘘的预防 |
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| 引用本文： | 杨宁,任章霞,刘小川,何佳虹,冯永建,薛会岗,董斌.改良支气管残端闭合法对支气管胸膜瘘的预防[J].中华肺部疾病杂志（电子版）,2010,3(4):24-26. |
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| 作者姓名： | 杨宁 任章霞 刘小川 何佳虹 冯永建 薛会岗 董斌 |
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| 作者单位： | 广安市人民医院胸心外科,广安,638001 |
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| 摘 要： | 目的通过改良肺切除支气管残端处理方法,减少支气管胸膜瘘(BPF)等并发症的发生。方法我科完成各种肺叶或全肺切除患者239例,分为实验组(163例),采用缝合器+连续往返交叉缝合改良技术,对照组(76例),采用间断缝合,或直线缝合器缝合,或者腔外双重结扎的传统方法,比较两组BPF、脓胸、早期刺激性咳嗽、咳血、术后早期漏气等临床指标。结果实验组163例,发生BPF仅1例(0.61%),对照组76例,发生BPF3例(3.94%),两组比较具有显著的统计学差异(P0.05)。其他并发症发生率较对照组均有明显减少,两组比较具有统计学差异(P0.05)。结论该方法效果明显,简单易行,费用低廉,特别适合基层医院应用。
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| 关 键 词： | 支气管残端 改良方法 支气管胸膜瘘 肺切除术 |
Developed method of bronchial stump closure in the prevention of bronchopleural fistula |
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| YANG Ning,REN Zhang-xia,LIU Xiao-chuan,HE Jia-hong,FENG Yong-jian,XUE Hui-gang,DONG Bin.Developed method of bronchial stump closure in the prevention of bronchopleural fistula[J].Chinese Journal of lung Disease（Electronic Edition）,2010,3(4):24-26. |
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| Authors: | YANG Ning REN Zhang-xia LIU Xiao-chuan HE Jia-hong FENG Yong-jian XUE Hui-gang DONG Bin |
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| Institution: | YANG Ning,REN Zhang-xia,LIU Xiao-chuan,HE Jia-hong,FENG Yong-jian,XUE Hui-gang,DONG Bin.(Department of Cardiothoracic Surgery,People's Hospital of Guang'an City,Guang'an 638001,China) |
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| Abstract: | Objective To reduce complications such as bronchopleural fistula(BPF)by developed method of bronchial stump closure in lung resection.Methods Two hundred and thirty-nine cases from our department were divided into the experimental group(163 cases)with developed method by using suturing instrument and continuous cross-stitch suture,and the control group(76 cases)with the traditional methods of interrupted sutures,or straight line suture,or extra-cavity double ligation.Clinical indexes of BPF,empyema,early ir... |
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| Keywords: | Bronchial stump Developed method Bronchopleural fistula Lung resection |
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