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结扎法处理肺癌切除支气管残端的临床体会

Clinic Experience on the Treatment of Bronchial Stump with Ligature in Total Pneumonectomy

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【作者】 林科先李志鸿沈毅马健青

【Author】 Lin Kexian et al. The Second People’s Hospital of Qingdao,Qingdao 266033

【机构】 青岛市第二人民医院青岛医学院附属医院青岛市第二人民医院 266033266033

【摘要】 自1987年6月至1994年12月,为129例肺癌切除病人用结扎法处理支气管残端,其中肺叶切除97例,全肺切除32例。经病理证实,全组支气管残端癌残留4例,其中全肺切除2例,占6.3%,肺叶切除2例,占2.1%。作者认为,结扎法具有操作简便,省时易掌握,能避免支气管内分泌物外溢,减少并发症等优点。强调支气管切缘距肿瘤应>1cm,支气管断端应快速冰冻检查,以确保残端无癌残留,提出结扎法用于全肺切除时应从严掌握。

【Abstract】 From Jun. 1987 to Dec 1994,129 Patients were operated with pulmonary carcinoma excision,the bronchial stump were treated with ligature,pulmonary lobectomy was employed in 97 cases, total pneumonectomy treatment in 32 cases. Through pathological examination , there were 4 Carcinoma at bionchial stump in total group,include 2 cases treated with total pneumonc ptorny (6. 3%),2 cases treated with pulmonary lobectomy (2.1 % ). The author thinks that ligature easy to operate and master,can save time,and bronchial secretion overween bronchial inxisal maigin and tumor surpass cen|emeter, the biornhus ,should be checked with rapid biozen Stump. Ligature should be used strictly in total pneumonectomy.

  • 【文献出处】 青岛医药卫生 ,Qingdao Medical Journal , 编辑部邮箱 ,1995年11期
  • 【分类号】R734.2
  • 【下载频次】11
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