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1961年2月～1962年12月为509例肺結核及肺化脓症患者施行肺切除,随訪观察6月～2年4月。由于采用不同的残端縫合方法,术后残端瘻的发生率有明显差异:200例粘膜外縫合法組中未出現瘻,200例全层組,发生6例瘻(3.o％),縫合器組109例,5例瘘(4.5％)。經过分析,虽然肺部病变性质、手术方式、痰菌情况,支气管切断处有病变、术前用药情况等对残端瘘的出現有一定影响,但更重要的为改进縫合方法。
From February 1961 to December 1962, 509 cases of pulmonary tuberculosis and pulmo- nary septic patients underwent lung resection. Follow-up was performed from June to April and April. Due to the use of different stump suturing methods, there was a significant difference in the incidence of postoperative stump fistula: 200 cases were not found in the mucosal external suture group, 200 full-thickness groups, and 6 cases (3.0%) occurred. There were 109 cases in the suturing group and 5 cases (4.5%). After analysis, although the nature of the lung lesions, surgical methods, fungal sputum, bronchial lesions, preoperative drug use, etc. have some impact on the appearance of stumps, but more important is to improve the suture method.