保护肌肉剖胸切口在胸腔内手术中的应用  

Muscle sparing thoracotomy in chest surgery

作　　者：王永清[1] 夏瑜[1] 叶伟文[1] 何正富[1] 陈周苗[1] 张伟民[1] 郭继革[1] 

机构地区：[1]浙江大学医学院附属邵逸夫医院,浙江杭州310016

出　　处：《浙江大学学报（医学版）》2004年第6期554-555,共2页Journal of Zhejiang University(Medical Sciences)

摘　　要：目的 :总结保护肌肉剖胸切口在胸腔内手术中的应用经验。方法 :1998- 2 0 0 2年选择常规胸腔内手术的病例 386例 ,采用侧胸横切口 ,游离胸壁肌瓣 ,根据术野需要选择相应的肋间进胸 ,用二把牵开器扩大胸腔视野 ,完成相关的胸腔内手术操作。结果 :用该剖胸方法共完成 386例多种胸腔内手术 ,术野显露良好 ,术后疼痛轻、康复快。结论 :保护肌肉剖胸切口具有损伤小和显露好的优点 ,可适用于大多数胸腔内手术。Objective: To review the clinical experience of muscle sparing thoracotomy in intrathoracic surgery. Methods: Thoracotomy was performed in 386 patients from 1998 to 2002,during the procedure lateral transverse incision,free dissection of muscular flap and entering to the thoracic cavity through certain intercostal space were applied.Two sets of rib retractors were used to ensure the excellent field exposure. Results: Intrathoracic surgery was carried out by this method with the advantage of excellent surgical field exposure,less pain and relative quick recovery. Conclusion: Muscle sparing thoracotomy has the merits of less injury and the same good exposure as routine thoracotomy and it can be carried out in majority of chest surgery. [

关 键 词：胸廓切开术 手术后并发症/预防和控制 保护肌肉 胸腔内手术 

分 类 号：R655[医药卫生—外科学]