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为了探讨胸中段食管癌左侧开胸手术的对侧胸膜破裂是否需要修补以及处理的价值,选择胸中段食管癌左侧开胸两切口手术修补和不修补各50例进行对比研究,胸膜修补采用1号丝线间断缝合等方法。结果发现,修补对侧胸膜组并发症发生率明显低于不修补组(P<0.05),尤其是胸腔胃排空障碍和胸腔胃穿孔等严重并发症。初步研究结果提示,开胸手术造成对侧胸膜破裂者应常规予以修补。
In order to investigate whether the contralateral pleural rupture in the thoracic esophageal left thoracic surgery need to be repaired and the value of the treatment is to select the 50 cases of the left thoracotomy in the middle thoracic esophageal cancer for the comparative study. No. 1 silk suture and other methods. The results showed that the incidence of complications in the contralateral pleural group was significantly lower than that in the non-repaired group (P <0.05), especially the serious complications of thoracic gastric emptying and thoracic gastric perforation. Preliminary findings suggest that thoracotomy caused contralateral pleural rupture should be routinely be repaired.