摘要
目的：探索腋下小切口实施肺叶切除术的可行性，从而达到利于并加快肺部手术后恢复的目的。方法：采用腋下小切口对１６ 例肺部肿瘤的患者实施了肺叶切除或肺癌根治性手术，使其原有的肺部手术切口缩短到平均长度仅１１２８ｃｍ 。结果：１）伤口小、肌肉损伤小、出血少，因开关胸时间短，故整体手术时间缩短。２） 采用腋下藏匿式小切口，伤口美观隐蔽。３） 切口入路不横断胸壁肌肉、不切除肋骨，并且关胸时不缝扎肋间神经，术后伤口疼痛轻、持续时间短，利于患者术后咳痰及胸部物理治疗。４） 切口不需牵拉肩胛骨，术后肩关节及上肢活动受影响小，并且恢复快，有利于患者术后早期下床活动及生活自理。
Objective: To search for the clinical feasibility and advantages of lobectomy performed via subaxillary minithoracotomy Methods: Lobectomy by using subaxillary small incision thoracotomy (with an average incision length of 11 28cm ) was performed on 16 patients with lung tumor Results: 1) Because of the tiny incision so the injury of chest wall is mild with less blood loss and easy closing the wound, the whole operation time was shortened 2) The subaxillary incision has a cosmatic effect because of its latency 3)When openning the incision, it needs not trans-division of major muscles and removal of rib Because the intercostal nerve is not sutured and ligated, the postoperative incisional pain is mild so that the patient is easy to expectorate and to accept physical treatment 4 )By using this incision, the scapula is not retracted in operation so the shoulder joint function is not disturbed and recovered quickly with early ambulation and independent-life after operation Conclusion: Lobectomy via subaxillary minithoracotomy is feasible in treatment of lung tumor
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
1999年第9期657-658,共2页
Chinese Journal of Clinical Oncology
关键词
肺部肿瘤
腋下小切口
肺叶切除术
治疗
Lung tumor Subaxillary small incision thoracotomy Lobectomy
