摘要
目的：探讨肺血管阻断和成形技术在无出血肺切除术中的应用体会和临床效果。方法：29例肺部疾病患者均应用左或右肺动脉阻断和/或成形技术,行相应肺叶切除术（包括两叶肺切除术）,同时行肺动脉直接修补成形术4例,行肺动脉端端吻合成形术3例,合并右上支气管袖式切除术1例,左上肺支气管袖式切除术1例。结果：无术中死亡,未出现术中肺血管大出血、肺动脉狭窄和出血、支气管胸膜瘘、肺动脉血栓形成和栓塞等并发症,全组肺血管阻断时间为7-29min,平均（11.0±7.3）min,手术失血量为100-350ml,平均（180±42）ml。7例患者术后发生包裹性胸腔积液或胸腔感染,经保守治疗后痊愈,余患者顺利出院。结论：合理应用肺血管阻断和成形技术,可避免术中大出血,减少手术失血量,提高肺切除手术的安全性和成功率。
Objective： To review the experience and to assess the effect of the block and angioplasty of pulmonary vessel in no-bleeding lung resection. Methods： From July 2006 to May 2007, 29 patients under- went no-bleeding lobeetomy with support of block of pulmonary vessel, combined with pulmonary artery angioplasty/sleeve resection in 7 patients and bronchial sleeve resection in 2 patients. Results： There was no operative death or uncontrolled bleeding. There was no postoperative pulmonary thromboembolism. The time of block of pulmonary vessel was 7-29 min （11 min±7. 3 rain）, lose blood volume of operation was 100-350 ml （180 ml±42 ml）. Conclusion： Block and angioplasty of pulmonary vessel is safe and effective in lung resection and can decrease the risk of operative bleeding.
出处
《新疆医科大学学报》
CAS
2007年第8期854-855,共2页
Journal of Xinjiang Medical University
关键词
肺动脉
阻断
成形术
肺切除术
pulmonary artery
block
angioplasty
lung resection
