亚博APP买球

官方微信
官方微信
官方微博
官方微博
您的位置: 胸心外科 科室動態詳細

胸腹腔鏡聯合食管癌根治: “小切口”完成的胸科“大手術”

發布時間: 2014-08-06 本文來源: -胸心外科 作者: 系統

binglihuifang:

62suidebaidayetixingshouxiao,danshiyijingxiyan45nian,meitianyue30zhi;hejiujin40nian,meitiandouheyue300-400ggaodubaijiu;huanxihaochiretengtengdehuoguoyijimaocai、malatangdengweizhongdeshiwu。bujiuqianyinjianxiexingtunyankunnan10yutianzaidangdiyiyuanqiuyi,yuxiaoyandengzhiliaojin2zhouweijianhaozhuan,jingshiguantunbeiheweijingjianchafaxianshangduanshiguanzhongwujiguanqiangxiazhai,quzuzhihuojianquezhenweishiguanzhongfenhualinai。zaiqinpenghaoyoudetuijianxia,huanzhemumingzhaodaoleyaboticaimaiqiuyiyuanxiongxinwaikedelishupingfuzhurenyishi,jingxiongbuctzengqiangsaomiaojianchaxianshishiguanshangduanzhongliuchangyue35mm,wumingxianwaiqinhezhuanyi。genjuhuanzhebingqinghequanshenqingkuang,lishupingyishengweiqishixingle “xiong、fuqiangjinglianhejingbuxiaoqiekoushiguanaigenzhiqiechu+zonggelinbajieqingsao”deweichuangshoushu,shuhoukangfushunli。

julishupingfuzhurenyishijieshao,shiguanaishifashengzaishiguanshangpizuzhideexingzhongliu,yuezhansuoyouexingzhongliude2%jinnianlai,shiguanaidefabinglvjugaobuxia,quanshijiemeinianyueyou20wanrensiyushiguanai。shiguanaidefabingnianlingduozai40--70sui,nanxingduoyunvxing,danjinnianlai40suiyixiahuanzheyouzengduoqushi。

lishupingfuzhurenyishijieshao,shiguanaidebingyinmuqianrengbushifenqingchu。kenengyudili、shuiyuanhuanjingyijibuliangyinshixiguan(rushihaoazhishipinheyan、jiudeng)dengyinsuyouguan。jutongji,azhishipindesheruliangyushiguanaidefabinglvchengzhengbi。yanjiubiaoming,azhishipinzhongdeyaxiaoanleihuahewuhanliangjiaogao,tashiyizhonghenqiangdezhiaiwuzhi,ciwai,sherudanbaizhihexinxianshuguobuzu,yizaochengweishengsu、weiliangyuansu、hehuangsuhexiesuandengyingyangsuquefa,congerdaozhijitimianyilidixia,yeshishiguanaigaofayuanyinzhiyi。

shiguanaidaiyoumingxiandediyutedian,woguoshishiguanaigaofaqu,fabinglvjushijiediyi,yinshiguanaisiwangderenshujinciyufeiai,gaojudierwei。chuhenanlinxian、hebei、fujiandengshengwai,chuandongbeidiquyeshiguoneishiguanaigaofaqu,youqishisichuandeyantingxian、chengdoushidejintangxian,qingbaijiangqu、xindouqudengdengdiqudefabingrenshuzhanlewoshengdejinyibanyishang,yudangdijuminpianhaoazhishiwu、xiyan、yinjiu、chiguoreshiwuru: huoguo、rezhoudengyinshixiguanyouguan。

jiuqichangjianfabingyuanyinlaijiangzhuyaoyouyixiajigefangmian:

qiyi,shiguandezuilicengshiboerruandenianmoshangpi,guoredehuoguo、zhouhecijixingdeliejiu、yancaozhongdenigudingyijicucaoganyingdeshiwuzaixiayanguochengzhongyisunshangshiguanshangpizuzhi,jiuzhixingchengmanxingyanzhenghuokuiyang,yuhehoukexingchengshiguanbanhenxiazhai,changqishiguanyanyidaozhizhanmoshangpixibaoebianerfazhanchengshiguanai。

qier,azhishipinru: xiancai、suancai、huotuidengshipinzaiazhiguochengzhongchangyoumeijunwuran,meijunzaitineinengcushiyaxiaosuanyanheshiwuzhongerjianhanliangzengjia,chanshenghenqiangdezhiaiwuzhi——yaxiaosuananleihuahewu。guoliangshiyongzheleishiwu,huidaozhiwei、chang、yixiandengxiaohuadaoaibiandejilvshenggao;

disan,youyujingjidefazhan,gongyefeiqi、feishuidengwuranwomendedixiashui,daozhishuizhi、kongqidewuranyejianjiedezengjialeshiguanaidefabinglv;

lishupingfuzhurenyishibiaoshi,zaoqishiguanaizhengzhuangbingbudianxing,huanzhechangziyiweishi“reqi”huo“yanyan”erhushi,dangchuxianmingxiantunyankunnanheoutu,shenzhixiaoshouhepinxuedengyanzhongzhengzhuangshicaiquyiyuanjiuzhen,zheshihouwangwangyishiwanqi,yanwulezuijiazhiliaoshiji。yinci,zhuanjiatixing,ruyouyixiajiaozaoqizhengzhuangshijiuyingyinqizhongshi: ① yanxiashiwugengyeganhuotingzhigan: zaoqixiayanshiwushigengye,bushun、tingzhi,jizaiyanxiashiwushishiguanneixiangyouqitizudangyiyang。gengye、tingzhideganjuehuanyuqingxubodongyouguan,yibanbujingzhiliaokezixingxiaoshi,dangeshurihuoshuyuekezaicichuxian。② xiongguhejiantuxiatengtong: yanxiashiwushixiongguhouhuojiantuxiayouqingweitengtonggan,rushaozhuoyang,zhenciyanghuoqianlayang,youqishizaiyanxiaganzao、cucao,zhuorehuoyoucijixingshiwushiyoumingxiantengtong。danjinliuzhi、wenshishitengtongjiaoqing,shihoutengtongjianqinghuoxiaoshi。③ shiguanneiyiwugan: bingrentunyanshi,shiguanneiyoubushiganhuoyiwugan,bingrenchangchengyongculiangshiwujiangshiguancashang,huohuaiyiyoumouzhongyiwucunliuzhanfuzaishiguanbishangyanzhibuxia,youbushigandanyoubutong,wanqizekenengchuxianqiangke、shengyinsiya、huxikunnan、xiaohuadaochuxue、guguanjietengtong、jingbubaokuaidengyapohuozhuanyizhengzhuangjitizheng。

lishupingfuzhurenyishitixing,jinqiruchuxianbumingyuanyindetunyanzhangai,youqishijinxingxingtunyankunnan,yaojinfangshiguanai,xujishidaoyiyuanxiongwaikehuoxiaohuakejiuzhen,zuobeican、weijing、luoxuancthuomrjiancha,youtiaojianshihuankezuochaoshengneijing、zonggejingdengxiangguanjiancha,youzhuyuzhidingzhiliaofangan。

duiyuzao、zhongqizhongshangduanshiguanaihuanzheeryan,shoushushizhiliaodezhuyaoshouduan。chuantongshoushuxuzaixiongbuzuo30limi、fubu15limi、jingbu6limizuoyoudedanyihuolianheqiekou,zuzhichuangshangda,chuxueduo,shuhouhoufanshenjingsunshang、wenhekoulou、ganran、yijixinfeibingfazhengdengdefashengjilvjiaogao。jishishunliyechangxu2zhouzuoyoucainengkangfuchuyuan。shoushuliuxiadebahenjiurubiandadeshanghen,lilikeshu。weibimianxiong、fuhejingbudaqiekouzaochenghuanzhebiantilinshang、tongkubukan,shenxinchengshourenjianmodadetongku,lishupingbiaoshi,muqian,xiongwaikeyewufazhanhaodexiongwaikezhongxinjunkecaiyongxiongqiangjingzaixiongbuzuo3-4geyue1~1.5limidexiaokongqiechushiguanzhongliubingqingsaozonggelinbajie,caiyongfuqiangjingzaishangfubuzuo5geyue1~1.5 limidexiaokongyouliweibingqingsaofuqianglinbajie,zuihoujiangweilazhixiongqiangneixingshiguan-weiwenhe,zaijiazuojingbuyue5limidexiaoqiekou,jiangweilazhijingbuxingshiguan-weiwenhe,zhongjianxiaohuadao。jishushulianzhe,zhengguoshoushucaozuokezai3~ 4xiaoshineiwancheng,yuchuantongkaifangshoushuxiangdangshenzhigengduan,erchuxueliangzekedadajianshao。

lishupingshuo,zao、zhongqishiguanaidezhiliaoxiaoguohenhao,jinghelizhiliaohou,5nianshengcunlvkeyidadao40% ~ 50%huoyishang,guanjianzaiyuxuanzezhengquedezhiliaofangfa。

jiankangchangshi:

1.rendekouqiang、shiguanheweizhanmodenaishouwenduwei50~60du,weibimianduikouqiang、shiguanzhanmodetangshang,jianshaoshiguanyan、jixingweiyan、shiguanaidefashengjihui,womenxuanzeshiwudewenduyingyi60sheshiduzuoyouweiyi,bukechaoguo70sheshidu,fouzehuitangshangxiaohuaqiguan,suoyiyaoyangchenglianghaodeyinshixiguan,buyaochiretangdeshiwu。

2.shaochihuobuchisuancai、layularoudengazhi、yanxunhemeibiandeshiwu。

3.gailiangshuizhijianshaoyinshuizhongyaxiaosuanyanhanliang

4.buchongfuhangaodanbai、weishengsu、mu、xiyuxindengweiliangyuansuhekuangwuzhideyinshi,keyizengqiangjitimianyilihedikangli,dadaoyufangshiguanaiheqitaexingzhongliudemude。

Copyright©2021 cyfyy All rights reserved. | 川衛網審[2013-344]號 | 備案編號: |
專家介紹 醫院宣傳片 就醫指南