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[气管环形切除术后不同降低吻合口张力方法的有效性]

[Validity of different methods for reducing tension of anastomoses following circular resection of the trachea].

作者信息

Valesky A, Hohlbach G, Schildberg F W

出版信息

Langenbecks Arch Chir. 1983;360(1):59-69. doi: 10.1007/BF01255583.

DOI:10.1007/BF01255583
PMID:6877004
Abstract

In 23 corpses different methods to decrease tension over tracheal anastomosis after circular resection were investigated. Starting tracheal resection underneath the first tracheal ring and employing forward flection of the head, cervico-mediastinal mobilization, dissection of the lung hilus, supra-hyoidal larynx mobilization, and implantation of the left main bronchus into the bronchus intermedius, 78% of the whole trachea could be resected. Resecting the thoracic trachea from the level of its bifurcation in direction to the larynx and employing all methods for mobilization the maximum length of resection decreased by 20%, since larynx mobilization and hilus dissection had no effect.

摘要

在23具尸体上研究了环形切除术后降低气管吻合口张力的不同方法。从第一气管环下方开始气管切除,并采用头部前屈、颈纵隔松解、肺门解剖、舌骨上喉松解以及将左主支气管植入中间支气管的方法,可切除整个气管的78%。从气管分叉水平向喉部方向切除胸段气管,并采用所有松解方法,最大切除长度减少了20%,因为喉松解和肺门解剖没有效果。

相似文献

1
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本文引用的文献

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2
EXTENSIVE RESECTION AND RECONSTRUCTION OF MEDIASTINAL TRACHEA WITHOUT PROSTHESIS OR GRAFT: AN ANATOMICAL STUDY IN MAN.无假体或移植物的纵隔气管广泛切除与重建:人体解剖学研究
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The repair of circumferential defects of the trachea by direct anastomosis: experimental evaluation.气管环形缺损直接吻合修复术:实验评估
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J Thorac Cardiovasc Surg. 1968 Mar;55(3):418-21.
7
Management of cervical and mediastinal lesions of the trachea.气管颈段及纵隔病变的处理
JAMA. 1966 Sep 26;197(13):1085-90.
8
[Tracheobronchial reconstruction after extensive tracheal resection].[广泛气管切除术后的气管支气管重建]
Thoraxchir Vask Chir. 1969 Dec;17(6):503-8. doi: 10.1055/s-0028-1099350.
9
Suprahyoid release for tracheal anastomosis.用于气管吻合术的舌骨上松解术。
Arch Otolaryngol. 1974 Apr;99(4):255-60. doi: 10.1001/archotol.1974.00780030265005.
10
Adenoid cystic carcinoma of the trachea. Experience with 16 patients managed by tracheal resection.气管腺样囊性癌。16例气管切除治疗经验。
Ann Thorac Surg. 1974 Jul;18(1):16-29. doi: 10.1016/s0003-4975(10)65713-x.