65例腋下微创直切口开胸术分析

Analysis of Underaxillary Straight Incision Minithoracotomy in 65 Cases

目的 探讨经腋下直切口行开胸术的临床价值及存在的缺陷。方法 对65例不同胸部疾病的患者经腋下直切口进胸手术,疾病包括血气胸,肺部肿瘤,纵隔肿瘤,动脉导管未闭,食道疾病等。结果 经腋下直切口开胸术,手术野暴露满意,开关胸操作简单省时,患者术后切口疼痛轻,肌肉损伤少,肩部活动恢复快,切口隐蔽。结论 对于预计胸腔内无粘连,手术操作范围相对较小的胸腔手术可采用腋下直切口。

Objective The study aim was discuss the clinical value and fault of underaxillary straight incision minithoracotomy. Methods 65 patients with hemopneumothorax, lung tumor,mediastinum tumor, patent ductus arteriosus, esophagus disease, et al were treated surgically with underaxillary straight incision minithoracotomy. Results The surgical approach to the thoracic cavity during underaxillary straight incision minithoracotomy could provide well operation field, and performed easily, time - savingly with fast repair, decreased postoperative pain and minor muscle injury, improved shoulder movement, and a satisfactory aesthetic results. Conclusions Underaxillary straight incision minithoracotomy can be applied to the thoracic cavity operation with no predictable adhesion and narrower operative field.