【摘要】 目的探讨中部切断肋骨和腋下中部切断肋骨剖胸方法在剖胸手术中的应用价值。方法施行中部切断肋骨剖胸切口152例,其中腋下中部切断肋骨剖胸切口12例。结果术野暴露满意,面积达14cm×>30 cm,且不切除肋骨,不切断肋间肌,手术创伤小,腋下中部切断肋骨剖胸切口的暴露面积明显扩大,达14 cm×>20 cm,能在直视下满意地完成常见的胸外科手术。结论中部切断肋骨剖胸切口完善了胸外科保留肋骨的进胸方法,手术创伤小,术野暴露满意,关胸严密。腋下中部切断肋骨剖胸切口,既保留常规腋下切口的优点,又扩大了手术的应用范围。更多还原

【Abstract】 Objective To compare the effect of two operative methods,median-rid-section and sub axillary median-rib-section.Methods 152 cases underwent by median-rib-section and among them 12 cases underwent by sub axillany median rib section.Results The median-rib-section procided a satisfact incision(the area of ineision was 14cm×30cm),without renobing the ribs,with the musculature.Complete,and less trauma.And the method of sub axillary median-rub-section had more intrathoracre esposure(the area of inclsion was 14cm×20cm),and the thoractomy could be done directly and satisfactory.Conclusion The median-rib section is a good method in thoraxoctomy which makes the ribs,made less trauma and provides satisfactory exposure,and after surgery,the chest is closed tighly.The sub axillary media rib section provides a wider application while remaining the good charactery of common sub axillary section.更多还原