微创胸腹联合切口治疗胸腹联合伤34例临床分析  

Minimal thoracoabdominal incision for treatment of thoracoabdominal injuries:a report of 34 cases

作　　者：冯希武[1] 张继洲[1] 孙长海[1] 谢怀顺[1] 陶天晓[1] 

机构地区：[1]安徽省淮南市第一人民医院心胸外科,232007

出　　处：《蚌埠医学院学报》2011年第2期161-162,165,共3页Journal of Bengbu Medical College

摘　　要：目的:探讨不切断肋弓的胸腹联合小切口与传统的胸腹联合切口的优缺点。方法:对比分析不切断肋弓的胸腹联合小切口患者34例(观察组)与传统的胸腹联合切口患者26例(对照组)的手术时间、住院时间、下床时间及术后并发症。结果:观察组的手术时间、住院时间及下床时间均少于对照组(P<0.01)。观察组术后并发症较对照组明显减少(P<0.01)。结论:应用不切断肋弓的胸腹联合小切口治疗胸腹联合伤患者,较传统的胸腹联合切口具有明显优势,有利于胸腹联合伤患者的救治和康复。Objective：To discuss the advantages and disadvantages of minimal thoracoabdominal incision without disconnecting the costal arch and the traditional incision in treatment of thoracoabdominal injuries.Methods：The operation time,hospital stay,out-of-bed time and postoperative complications between 34 cases treated by thoracoabdominal incision without disconnecting the costal arch（test group） and 26 cases by traditional incision（control group） were compared and analyzed.Results：The operation time,hospital stay,out-of-bed time of the test group were obviously less than that of the control group（P0.01）.The postoperative complications of the test group were less than the control group（P0.01）.Conclusions：The minimal thoracoabdominal incision without disconnecting the costal arch is superior to the traditional incision in treatment of thoracoabdominal injuries,which is advantageous to the recovery and rehabilitation of the patients.

关 键 词：胸/外科手术 胸部损伤 腹部损伤 微创 

分 类 号：R655.1[医药卫生—外科学]