剖胸术中不切肋不断肋与切肋术的临床效果比较

COMPARED THORACOTOMY OF INTERCOSTAL INCISION WITH THORACOTOMY OF RIB RESECTION

目的 :减少剖胸术对患者组织损伤及其脏器功能的影响。方法 :比较了 183例不切肋不断肋剖胸术与同期 15 1例切肋剖胸术在切口撑开横径、切口出血量、术后疼痛等情况。结果 :两组切口撑开横径无明显差异 (P >0 0 5 ) ,切口出血量、术后疼痛不切肋不断肋剖胸术明显占优势 (P <0 0 0 1;P <0 0 0 1)。结论 :不切肋不断肋剖胸术切口暴露好、出血少、术后疼痛减轻 ,术后咳嗽、咳痰有力。此手术方法创伤明显减少 ,减少了输血并发症 ,无术后局限性胸壁畸形 。

Objective:To minimize the damage of tissues and possibly not to hurt the function of orgas.we design thoracotomy of intercostal incision.Methods:To compar the cases of 183 thoracotomy of intercostal incision (Group A) with thoracotomy of rib resection 153 patients (Group B). With Health statistics, Group A and Group B got similar in the width of the cut (P>0 05); the quantity of the cut hemorrhage in Group A was significantly lower than that in Group B (P<0 001); so do the pain postoperaton (P<0 001).Results:Thoracotomy of intercostal incision is advantagous to expose the cut, to reduce the quantity of hemorrhage and to relieve the pain postoperation. The patients could cough more effectively after operation.Conclusion:This method could cut down trauma obviously, decrease the complications of blood transfusion and lessen lung infections, but havent local deforming depressed chest unlike thoracotomy of rib resection. So this method can be adopted valuably.