支气管残端包盖与加固缝合对肺叶切除术后残端愈合的影响  

The influence of covering bronchial stumps and further suture on the healing of stumps in lobectomy of lungs

作　　者：周波[1] 杨卫东[1] 聂军[1] 王露[1] 万沛[1] 

机构地区：[1]湖北省宜昌市第一人民医院胸心外科,湖北宜昌443000

出　　处：《中华肺部疾病杂志（电子版）》2011年第1期30-32,共3页Chinese Journal of Lung Diseases(Electronic Edition)

摘　　要：目的分析肺部疾病行肺叶切除术时,支气管残端用两种闭合方法进行处理,其愈合有无差别。方法将2003年3月至2010年3月间入选的247例患者分为两组,一组123例支气管残端行加固处理,即用残端闭合器闭合支气管残端,再用Prolene线连续缝合残端加固;另一组124例在用残端闭合器闭合支气管残端后,用带蒂周围组织覆盖于残端并缝合固定。结果进行残端加固的病例有3例发生支气管胸膜瘘,而用周围组织覆盖组有2例发生,两组P>0.05。结论肺叶切除术后对支气管残端进行包盖与加固缝合对支气管残端愈合的影响没有差别。Objective This paper intends to find out how different ways of closing bronchial stumps will help with healing in lobectomy of lungs.Methods The patients hospitalized from March,2003 to March,2010 were put into two groups.In the treatment of the first group（n=123）,the bronchial stumps had been consolidated with the help of bronchial and sutured closely after stump closers were employed.Results In the stump closers and further suture using Prolene.For the other group（n=124）,pedicle flaps had been used to cover the bronchial stumps first group,three cases suffered from bronchopleural fistula after the operations.While in the second group,two cases had the same problem.Conclusion Covering the stumps with pedicle flaps after lobectomy of lungs did not produce great difference in the healing of bronchial stumps.

关 键 词：肺叶切除 支气管胸膜瘘 缝合 加固 

分 类 号：R655.3[医药卫生—外科学]