摘要
目的探讨听诊三角保留肌肉(Muscle-Sparing,MS)剖胸切口在胸外科手术中的临床应用价值。方法我科自2000年3月至2006年6月应用听诊三角保留肌肉剖胸切口共完成各类胸外科手术48例,包括Ⅰ期周围型肺癌8例,肺转移性肿瘤9例,肺部良性肿瘤14例,纵隔肿瘤/囊肿12例,自发性气胸5例。其中胸腔镜辅助听诊三角Muscle-Sparing剖胸切口完成纵隔肿瘤/囊肿切除术9例。结果全组无手术死亡病例发生,无术中、术后严重并发症。在应用该切口的早期发生1例伤口血肿,未予特殊处理自行愈合。开胸时间为(13.2±1.3)min,关胸时间为(12.3±1.6)min,术野面积(87±10)cm2。结论在合理选择病例并恰当使用一次性手术器械的前提下,听诊三角保留肌肉剖胸切口是一种安全可行的微创剖胸切口,且操作较其他胸壁小切口更为简便。
Purpose To explore the clinical feasibility and advantages of auscultatory triangle musclesparing thoracotomy in thoracic surgery. Methods We performed auscultatory triangle muscle-sparing thoracotomy totally in 48 cases from March 2000 to June 2006. Among them, there were 8 cases of stage I peripheral primary lung cancer, 9 cases of metastatic lung carcinoma, 14 cases of benign lung nodule, 12 cases of mediastinal neoplasm/cyst, 5 cases of spontaneous pneumothorax. 9/12 cases were performed video-assisted thoracotomy. Results There were no operative death, no serious compli- cations occurred during or after the procedure, only one case of hematoma of wound. The mean opening time was （13.2 ＋ 1.3） minutes, The mean closing time was （12.3 ± 1.6） minutes and the spreading area of the intercostal space was （87 ± 10） cm^2. Conclusions We therefore recommend that auscultatory triangle muscle-sparing thoracotomy can be done safely with careful selection of patients and application of single-use surgical instruments, and it is a feasible minimal invasive procedure than other incisions.
出处
《复旦学报（医学版）》
CAS
CSCD
北大核心
2007年第4期586-588,共3页
Fudan University Journal of Medical Sciences
