Topol'nitskiĭ E B, Dambaev G Ts
Khirurgiia (Mosk). 2009(11):48-52.
Original method of bronchus stump closure after pneumonectomy is presented. Developed compression bronchial suture was compared with manual Sweet suture and mechanical sutures in the experiment with 36 non-pedigreed dogs. Efficacy of different methods was evaluated basing on the clinical findings, radial, endoscopic and morphological observations. Macro- and microscopic investigations signify about the healing of main bronchus stump by primary intention with bronchial epithelium repair in the stump fundus under conditions of compression suture in 30 days after operation. It is ascertained that compression suture creates optimal conditions for stump repair compared with traditional manual and mechanical sutures healing by secondary intention.
介绍了肺切除术后支气管残端闭合的原方法。在36只杂种犬的实验中，将改进的压迫性支气管缝合术与手工Sweet缝合术和机械缝合术进行了比较。根据临床发现、影像学、内镜及形态学观察评估不同方法的疗效。大体和显微镜检查表明，术后30天在压迫缝合条件下，主支气管残端通过一期愈合，残端底部支气管上皮修复。可以确定，与传统的手工和机械缝合二期愈合相比，压迫缝合为残端修复创造了最佳条件。
