摘要
目的探讨非解剖性肺叶切除在肺部炎性病变手术中的应用价值。方法总结2006年6月~2010年3月期间我院16例肺部炎性病变行非解剖性肺叶切除的手术及术后恢复情况。结果 16例患者中,支气管扩张5例,右肺中叶综合症4例,肺脓肿3例,肺囊肿合并感染2例,结核1例,先天性食管支气管瘘合并右下肺感染1例。手术部位：右肺上叶切除1例;右肺中叶切除4例;右肺下叶切除4例;右肺中下叶切除1例。左肺上叶切除1例;左肺下叶切除5例。手术时间1.5~4.2 h,平均2.6±0.8 h。术中出血200~750 m l,平均320±160 m l。术后胸腔闭式引流时间1~6 d,平均2.6±1.5 d。所有患者均顺利恢复。结论当肺部炎性病变手术出现肺门严重粘连而无法常规解剖出肺门血管时,非解剖性肺叶切除是一种安全,简便的肺叶切除方法。
Objective To study the application of un-anatomic lobectomy in the operation of Pulmonary inflamatory diseases.Methods From Jun,2006 to Mar,2010,16 cases with pulmonary inflamatory diseases underwent un-anatomic lobectomy.Their clinical data were summarized retrospectively.Result Of 16 cases,5 were bronchioectasis;4 right middle lobe syndrome;3 pulmonary abscess;2 pulmonary cyst;1 tuberculosis and 1 congenital broncho-esophageal fistula.The site of operation： 1 right-upper-lobe lobectomy;4 right-middle-lobe lobectomy;4 right-lower-lobe lobectomy;1 right-middle and lower bilobectomy;1 left-upper-lobe lobectomy and 5 left-lower-lobe lobectomy.The length of operation was 1.5~4.2 h,mean 2.6±0.8 h.The volume of bleeding during operation was 200~750 ml,mean 320±160 ml.The length of post-operative thoracic drainage was 1~6 d,mean 2.6±1.5 d.All cases recovered smoothly.Conclusion The un-anatomic lobectomy is a safe and simple way of lobectomy for those pulmonary inflamatory diseases,whose hilum of lung is difficult to be disected during operation.
出处
《临床肺科杂志》
2011年第3期384-385,共2页
Journal of Clinical Pulmonary Medicine
关键词
非解剖性肺叶切除
肺部炎性病变
un-anatomic lobectomy
pulmonary inflamatory diseases
