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目的比较支气管器械闭合和结扎缝合法在肺癌肺切除术中支气管闭合上的临床效果。方法2000年3月至2003年12月351例行肺切除手术的肺癌患者随机分为支气管器械闭合组(n=186例,A组)和结扎缝合组(n=165例,B组)。分别比较两组术后支气管胸膜瘘、支气管残端癌残留和胸膜腔感染发生率。结果支气管机械闭合组术后支气管胸膜瘘、支气管残端癌残留、胸腔感染发生率分别为0.54%、4.36%、3.76%;而支气管结扎缝合组则分别为4.24%、10.91%、9.09%。两组比较有差异。(P<0.05)。结论对于降低肺癌手术后支气管胸膜瘘和胸膜腔感染,减少支气管残端癌残留,支气管器械闭合优于结扎缝合法。
Objective To compare the clinical effect of bronchial closure and ligation suture on bronchial closure during lung resection of lung cancer. METHODS: Between March 2000 and December 2003, 351 lung cancer patients undergoing lung resection were randomly divided into a bronchial instrument closure group (n = 186 cases, group A) and a ligation and suturing group (n = 165 cases, group B). The incidences of residual bronchial pleural fistulas, residual bronchial stumps, and pleural cavity infections were compared between the two groups. Results The incidences of postoperative bronchopleural fistula, bronchial stump cancer residual, and thoracic cavity infection in bronchial mechanical closure group were 0.54%, 4.36%, and 3.76%, respectively, while those in the bronchial ligation group were 4.24%, 10.91%, and 9.09%, respectively. There are differences between the two groups. (P<0.05). Conclusions For the reduction of bronchopleural fistula and pleural cavity infections after lung cancer surgery and reduction of bronchial stump cancer residuals, bronchial closure is better than ligation and suture.