论文部分内容阅读
目的 简化支气管成形术的手术操作 ,缩短手术时间 ,吻合口并发症的发生。方法 对 76例中心型肺癌患者 (其中合并肺功能不良者 48例 ,合并心功能不良者 14例 ) ,应用改良支气管成形术进行治疗。结果 1例术后 3周因吻合口漏死亡 ,3例术后 1周左右发生吻合口周围感染征象 ,治疗后痊愈 ,其余患者均痊愈出院。术后 42例随访 10～ 48个月 ,均无刺激性咳嗽症状。结论 改良支气管成形术有效地解决了近远端支气管管径大小不一及管壁厚薄不均的问题 ,同时简化了手术操作 ,缩短手术时间 ,减少了术后吻合口并发症 ,取得了满意的疗效
Objective To simplify the operation of bronchoplasty, shorten the operation time and anastomosis complications. Methods A total of 76 patients with central lung cancer (including 48 with pulmonary dysfunction and 14 with cardiac dysfunction) were treated with modified bronchoplasty. Results One case died of anastomotic leakage 3 weeks after operation, and 3 cases showed signs of anastomotic infection around the first week after operation. After treatment, the patients recovered and the rest were cured. 42 patients were followed up for 10 ~ 48 months, no irritating cough symptoms. Conclusions Modified bronchoplasty can effectively solve the problem of different diameters of the proximal and distal bronchial tubes and uneven thickness of the tube wall, simplify the operation, shorten the operation time and reduce the complications of the anastomotic postoperatively, and obtain the satisfactory Efficacy