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目的 探讨Ｄｅｎｉｓ Ｂｒｏｗｎｅ 切口即腋下直切口在小儿普胸手术中的临床应用价值。方法 ９ 年中应用腋下直切口进行普胸手术１６９ 例， 胸膜外途径６５ 例， 胸膜内途径１０４ 例。其中动脉导管未闭１４５ 例， 先天性食管闭锁７ 例， 先天性肺囊肿５ 例， 大叶性肺气肿６ 例， 隔离肺１ 例， 纵隔肿瘤５ 例。结果 全组手术顺利， 术野显露良好， 无手术并发症。结论 该切口隐蔽美观， 组织损伤小， 明显减轻术后胸痛及肩关节活动障碍。特别适合于婴幼儿开胸术。可在小儿普胸手术中广泛应用。
Objective To investigate the clinical value of Denis Browne incision, which is a straight incision in the pediatric general thoracic surgery. Methods A total of 169 cases underwent general thoracotomy with axillary straight incision in 9 years, 65 cases of extrapleural approach and 104 cases of intrapleural route. Of which 145 cases of patent ductus arteriosus, congenital esophageal atresia in 7 cases, 5 cases of congenital pulmonary cysts, lobar emphysema in 6 cases, isolated lung in 1 case, 5 cases of mediastinal tumors. Results The operation of the whole group was smooth and the operative field was well exposed. There was no operative complications. Conclusions The incision is subtle and beautiful with less tissue damage. It can significantly reduce postoperative chest pain and shoulder joint movement disorders. Particularly suitable for infant thoracotomy. Can be widely used in pediatric thoracic surgery.