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| 肋骨打孔连续缝合关胸法的临床应用 |
| The clinical application of rib cage and continuous suture on thoracic surgery |
| 投稿时间：2017-03-17 |
| DOI：10.3969/j.issn.1000-0399.2017.12.012 |
| 中文关键词: 胸部手术 肋骨打孔 连续缝合 关胸法 PDS-Ⅱ可吸收缝线 |
| 英文关键词: Chest wound Rib cage Continuous suture Thoracic surgery,PDS-Ⅱ absorbable suture |
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| 中文摘要: |
| 目的 探讨肋骨打孔连续缝合关胸法在胸部开放手术的应用价值。方法 选择2012年7月至2015年7月安康市中医医院收治的188例胸部开放手术患者，根据关胸方式的不同，分为肋骨打孔连续缝合关胸组（n=96）和传统关胸组（n=92），比较两种关胸方式术中、术后相关指标。结果 肋骨打孔连续缝合关胸组的关胸时间、术后疼痛程度、伤口感染发生率优于传统关胸组，差异有统计学意义（P<0.05），但两组患者的术后引流量、引流管留置时间、皮下气肿发生率差异无统计学意义（P>0.05）。结论 连续缝合关胸法关胸具有关胸时间短、手术后疼痛程度轻的优点，值得临床推广。 |
| 英文摘要: |
| Objective To search for the application value of the method of rib cage and continuous suture on thoracic surgery.Methods According to the different ways of chest closure,188 patients with thoracic surgery in our hospital from July 2012 to July 2015 were chosen and divided into two groups.One group was treated with the method of rib cage and continuous suture (n=96), the other with the traditional method(n=92). The related indicators of two kinds of thoracic surgery during and after the operation were analyzed and compared.Results In the group with the method of rib cage and continuous suture, the thoracotomy time, the postoperative pain, and the incidence of infection presented significant differences compared with the traditional group (P<0.05), while there were no evident differences in postoperative drainage volume,indwelling time and the occurrence of pleura thickening(P>0.05).Conclusion The method of rib cage and continuous suture on thoracic surgery has advantages of short chest closure time and mild postoperative pain, which is safe, feasible and effective. |
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