改良Muscle-Sparing剖胸切口在治疗周围型肺部肿块中的应用  

The Application of Muscle-Sparing Thoracotomy in Peripheral Pulmonary Tumors

作　　者：范虹[1] 王群[1] 蒋伟[1] 徐松涛[1] 郭卫刚[1] 冯明祥[1] 

机构地区：[1]复旦大学附属中山医院胸外科,上海200032

出　　处：《中国临床医学》2005年第5期799-800,共2页Chinese Journal of Clinical Medicine

摘　　要：目的：探讨改良 Muscle-Sparing(MS)切口在治疗周围型肺部肿块中的应用价值。方法：自2001年4月～2004年5月，应用此切 口治疗周围型肺部肿块共62例，另选择同期月常规切口行肺部手术者62例为对照(SP)，对两组病例的开关胸时间、手术时间、术野 面积等进行分析。结果：全组病例均无大出血、肺不张、肺部感染、胸腔感染或呼吸衰竭等严重并发症。平均开胸时间：改良 MS 组11 min，SP 组13 min；平均关胸时间：改良 MS 组14 min，SP 组22 man；施行肺叶切除术时，改良 MS 组术中操作时间平均为142min，长于 SP 组；改良 MS 组术后引流量平均为550ml，少于 SP 组；改良 MS 组术后住院时间平均为7． 8 d，短于 SP 组。结论：只要注意病例的 选择，对肺楔形切除术和中、下肺叶切除术，改良 Muscle-sparing 切口是一种安全可行的方法，具有美观、术后恢复快的优点。Objective：To explore the clinical feasibility and advantages of modified Muscle-Sparing thoracotomy in peripheral pulmonary tumors. Methods： Using modified muscle-sparing thoracotomy, 62 peripheral pulmonary tumors were treated From Apr. 2001 to May. 2004, taking 62 standard post-lateral thoracotomies as control. Opening time, closing time, operating time and operative fields were compared between the two groups. Results： There were no serious intra-operative and post-operative complications. Opening time： Modified MS group averaged 11 minutes, SP group averaged 13 minutes. Closing time： Modified MS group averaged 14 minutes, SP group averaged 22 minutes. Operating time： When performing lobectomy, Modified MS group averaged 142 minutes, longer than that of SP group. Postoperative drainage volume of modified MS group： averaging 550ml, less than that of SP group. Hospital stay： averaging 7.8 days postoperatively, Modified MS group was the shorter. Conclusion： Slinky and recovery-accelerating, muscle-sparing thoracotomy is safe and effective for certain lower-lobectomy, middle-lobectomy and wedge excision with the cases chosen carefully.

关 键 词：MuscleSpanng切口 肺部肿瘤 

分 类 号：R655.1[医药卫生—外科学]