采用自创方法行浅村-成胁式主支气管残端闭合及胸膜心包瓣覆盖以避免支气管胸膜瘘（BPF）的价值。
The value of Asamura-Naruke type main bronchus stump closure and pleuro-pericardial flap covering by own method to avoid broncho-pleural fistula (BPF).
作者信息
Kecskés L, Bátori G, Gehér P, Kiss B
机构信息
Vas County Markusovszky Hospital, Szombathely, Hungary.
出版信息
Acta Chir Hung. 1999;38(1):71-3.
PMID:10439100
Abstract
- Authors present an "old-new" main bronchus closure procedure, which combines the Sweet's and Overholt's methods, recommended by Asamura-Naruke. 2. The A-N procedure decreased the prevalence of BPF from 2.8% to 0.09% in case of thoracotomy and from 9.5% to 2.4% in case of pneumonectomy compared 2 different stump-closing types. 3. There was not BPF in the "covered subgroup" (0%/92 PN) recommended by us, independent of the closing types. 4. All bronchial stumps closed like A-N and covered by our method (0% BPF/62 PN) healed.
摘要
- 作者提出了一种“新旧结合”的主支气管闭合手术，该手术结合了Sweet法和Overholt法，是由浅村-成胁推荐的。2. 浅村-成胁手术在开胸手术中使支气管胸膜瘘的发生率从2.8%降至0.09%，在肺切除术中从9.5%降至2.4%，比较了两种不同的残端闭合类型。3. 在我们推荐的“覆盖亚组”（92例肺切除术中0%）中，无论闭合类型如何，均未发生支气管胸膜瘘。4. 所有像浅村-成胁手术那样闭合并用我们的方法覆盖的支气管残端（62例肺切除术中支气管胸膜瘘发生率为0%）均愈合。
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