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目的探索胸骨正中劈开径路理想的皮肤切口。方法根据Brom乳房下横切口的原理 ,设计并采用Y形皮肤切口胸骨正中劈开法施行手术 5 3例 ,其中手术切除各类前纵隔肿瘤 5 1例 ,治疗双侧同时性气胸 2例。结果全组病例手术切口均I期愈合 ,无胸骨感染、坏死或裂开 ,皮肤瘢痕纤细、隐蔽 ,患者易接受。结论Y形皮肤切口胸骨正中劈开法具有操作便捷、愈合牢靠、术野显露应变自如 ,以及符合美观需求等特点。
Objective To explore the ideal midline incision in the sternum. Methods According to the principle of transversal incision under Brom breast, 53 cases of operation were designed and treated by the cleft method of Y - shaped skin incision. Among them, 51 cases were treated by resection of various types of anterior mediastinal tumors and 2 cases were treated with bilateral simultaneous pneumothorax. Results All the patients underwent surgical incision healed one time without sternal infection, necrosis or dehiscence. The skin scar was slender and hidden, and the patients were easy to accept. Conclusion Y-shaped skin incision midline suture cleavage with convenient operation, solid, reliable, surgical field exposed strain, and in line with aesthetic needs and other characteristics.