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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

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【作者】 冯希武张继洲孙长海谢怀顺陶天晓

【Author】 FENG Xi-wu,ZHANG Ji-zhou,SUN Chang-hai,XIE Huai-shun,TAO Tian-xiao(Department of Cardiothoracic Surgery,Huainan First People’s Hospital,Huainan Anhui 232007,China)

【机构】 安徽省淮南市第一人民医院心胸外科

【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。

【Abstract】 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(P<0.01).The postoperative complications of the test group were less than the control group(P<0.01).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.

  • 【文献出处】 蚌埠医学院学报 ,Journal of Bengbu Medical College , 编辑部邮箱 ,2011年02期
  • 【分类号】R641
  • 【被引频次】2
  • 【下载频次】22
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