| 高亚洲 王霞 韩乐 宋养荣 程蒿.阔筋膜与涤纶布修补术对胸壁肿瘤切除后胸壁缺损的临床疗效[J].,2016,16(17):3279-3281 |
| 阔筋膜与涤纶布修补术对胸壁肿瘤切除后胸壁缺损的临床疗效 |
| Comparison of the Clinical Curative Effect of Fascia Repair with DacronCloth Repair Resection of Chest Wall Defect of Chest Wall Tumor |
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| DOI： |
| 中文关键词: 胸壁肿瘤 胸壁缺损 阔筋膜修补术 涤纶布修补术 |
| 英文关键词: Chest wall tumor Chest wall defect Tensor fascia repair Polyester fabric repair |
| 基金项目:陕西省科技攻关项目(2012K13-02) |
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| 中文摘要: |
| 目的：探讨阔筋膜修补术与涤纶布修补术对胸壁肿瘤切除后胸壁缺损的临床疗效观察。方法：选取我院胸外科收治的早期
胸壁肿瘤患者81 例，随机分为阔筋膜组40 例行阔筋膜修补术，涤纶布组41 例行涤纶布修补术。比较两组患者术后镇痛药用量、
肺部体征、引流量、CRP、白细胞及临床康复情况。结果：治疗后与阔筋膜组比较，涤纶布组患者术后镇痛药量、呼吸受限时间及胸
膜粘连发生率均较低，（P<0.05）。与治疗前比较，两组患者白细胞水平均升高（P<0.05），C 反应蛋白水平均降低，（P<0.05）。与阔筋
膜组相比较，涤纶组白细胞水平，C 反应蛋白水平均较低（P<0.05），涤纶布组治疗后SPO2水平恢复正常的天数缩短(P＜0.05)。与
阔筋膜组比较，涤纶布组患者术后发热天数，引流天数及住院天数均较少，（P<0.05）。结论：涤纶布修补术较传统阔筋膜修补术临
床疗效优越，且患者痛苦小，术后恢复快，对临床具有指导意义。 |
| 英文摘要: |
| Objective:To compare the clinical curative effect of fascia repair with dacron cloth repair resection of chest wall defect
of chest wall tumor.Methods:81 chest wall tumor patients fromdepartment of thoracic surgery in our hospital were selected and randomly
divided into the Tensor fascia group (40 cases) and the Polyester fabric group (41 cases). The analgesic dosage, pulmonary signs, lead
flow, CRP, white blood cell and clinical rehabilitation were compared between two groups.Results:Compared with the tensor fascia
group, the analgesic effect, respiratory confinement time and incidence rate of pleural adhesion were lower（P<0.05）. Compared with before
treatment, the white blood cell level were higher（P<0.05）,the C reactive protein level were lower（P<0.05）. Compared with the tensor
fascia group, the level of white blood cell, the days to restore normal SPO2 level after the treatment of polyester fabric was shortened
（P<0.05）, the postoperative fever days, drainage days and length of stay in hospital were shorter（P<0.05）.Conclusion:The clinical curative
effect of polyester fabric repair is superior to the traditional tensor fascia repair with less pain and fast recovery, worthy to be popularized. |
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