左侧开胸食管癌手术中对侧胸膜修补的临床价值  

Clinical value of mending of pleura caused by left open chest operation for cuts of median esophageal carcinoma

作　　者：程思强[1] 荣林[1] 董经光[1] 宋子坤[1] 高德军[1] 

机构地区：[1]聊城市第二人民医院胸心外科,山东聊城252601

出　　处：《中华肿瘤防治杂志》2010年第18期1482-1483,共2页Chinese Journal of Cancer Prevention and Treatment

摘　　要：为了探讨胸中段食管癌左侧开胸手术的对侧胸膜破裂是否需要修补以及处理的价值,选择胸中段食管癌左侧开胸两切口手术修补和不修补各50例进行对比研究,胸膜修补采用1号丝线间断缝合等方法。结果发现,修补对侧胸膜组并发症发生率明显低于不修补组(P<0.05),尤其是胸腔胃排空障碍和胸腔胃穿孔等严重并发症。初步研究结果提示,开胸手术造成对侧胸膜破裂者应常规予以修补。The objective of this study was to evaluate the necessity and value of mending of pleural rupture caused by left open chest operation for esophageal carcinoma.A comparison was made between 50 cases of patients with mending of pleural rupture sewed disconnectedly with No.1 thread and 50 cases without mending.The complication rate for the mending group was obviously lower than the group without mending （P0.05）.This method was especially effective in preventing the serious complications like gastric retention and gastric perforation.In conclusion,Mending should normally be made if pleural rupture is caused by cuts in chest.

关 键 词：食管肿瘤/外科学 胸膜/外科学 治疗结果 

分 类 号：R735.1[医药卫生—肿瘤]