摘要
目的：探讨腋下直切口在小儿动脉导管未闭术中的临床应用价值。方法：作者１０ 年间应用腋下直切口行动脉导管未闭术１９５ 例。胸膜外途径６７ 例，胸膜内途径１２８ 例。动脉导管未闭加垫结扎１５６ 例，切断缝合８ 例，钛铗钳闭术３１ 例。结果：全组术野显露良好，手术顺利，无死亡。结论：该切口隐蔽、美观、组织损伤小，特别适合于婴幼儿开胸术。
Objective:To evaluate the clinical value of vertical axillary incision in surgical management of patent ductus arteriosus(PDA)in children.Methods:From March 1989 we to December 1998 adopted vertical axillary incision in 195 cases of infants and children with PDA in thoracotomies.There were 67 cases of operations through extrapleural approach and 128 cases through intrapleural approach.Results:All patients were operated on successfully.The technique of muscle sparing thoracotomy provided excellent cosmetic healing.Conclusion:This incision is short and hidden with an adequate exposure of intrathoracical structure.The technique can be used extensively in infants and children.
出处
《浙江大学学报（医学版）》
CAS
CSCD
1999年第4期169-170,共2页
Journal of Zhejiang University(Medical Sciences)
关键词
动脉导管未闭/外科学
腋下直切口
儿童
Ductus arteriosus,patent/surg
Vertical axillary incision
Children
