肺癌切除术中不同支气管残端闭合技术的临床应用价值对比研究  

The clinical significance of different bronchial residual end closed technology in lung cancer resection

作　　者：汪颖[1] 郭毅[1] 李珏[1] 

机构地区：[1]云南省第二人民医院胸外科,云南昆明650021

出　　处：《云南医药》2013年第5期374-376,共3页Medicine and Pharmacy of Yunnan

摘　　要：目的通过对支气管闭合器闭合联合周围活组织覆盖加强与单纯间断全层缝合法联合周围活组织覆盖加强(改良Sweet法)支气管残端处理技术的对比研究,探讨肺癌切除术中不同支气管残端闭合技术的临床应用价值。方法按支气管残端的处理方法不同分为2组:对照组采用支气管单纯间断全层缝合法联合周围活组织覆盖加强(改良Sweet法)共178例,研究组采用支气管闭合器闭合联合周围活组织覆盖加强共182例,各组病例的医疗和手术资料均严格按照支气管残端处理方式和术后支气管胸膜瘘(BPF)的发生情况分类详细记录,BPF的发生率按照不同闭合方式分类计算。结果 2组一般、临床及病理资料无统计学差异,具有良好的均衡性和可比性。对照组BPF发生率为6.18%(11/178),研究组BPF发生率为1.11%,具有组间显著性差异。结论支气管闭合器闭合联合周围活组织覆盖加强处理肺癌支气管残端的方法,日后支气管胸膜屡的发生率远低于单纯间断全层缝合法联合周围活组织覆盖加强(改良Sweet法),极大的降低了BPF导致的病死率,值得推广应用。Objective To compare the effects between Sweet method and bronchial obturator for closing the residual ends in lung cancer resection. Methods and Results There were 178 cases in Sweet group and 182 cases in bronchial obturator group. After treatment, the incidence rates of broncho-pleuro fistula were 6.18% in Sweet group and 1.11% in bronchial obturator group. Conclusion The effects in bronchial obturator group are better than that of Sweet group, and mortality is lower.

关 键 词：肺癌切除术 支气管残端闭合技术 改良Sweet法 

分 类 号：R734.2[医药卫生—肿瘤]