在节省左上叶切除术后,有静脉方面的担忧
Chloé Lafouasse1, Dominique Gossot1, Agathe Seguin-Givelet1,2
1Thoracic Surgery Department, Thorax Institute-Curie-Montsouris, Paris, France.
概括
肺部手术后的术后舌膜缺血经常被错误地归咎于扭曲. 重复手术案例显示,静脉问题,而不是扭动,是这种并发症的主要原因.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术并发症 手术并发症
- 肺部解剖学 肺部解剖学
背景情况:
- 手术后的舌膜缺血是左上叶三段切除术后的一个已知的并发症.
- 它通常归因于剩余的舌头的扭曲.
- 然而,其他因素,如静脉中断也可能有助于.
研究的目的:
- 为了调查手术后的舌头缺血的原因,在经历了舌头节省左上叶切除术后重新手术的患者中.
- 为了确定扭动是否是主要原因,或者是否涉及其他因素.
主要方法:
- 追溯对3例因怀疑肺内膜缺血而需要重新手术的病例进行回顾.
- 在重新手术期间分析手术发现,以确定缺血的原因.
主要成果:
- 在这三例重复手术中,没有一例被发现是由于舌头扭曲引起的.
- 在所有病例中,缺血与舌腔静脉排水或异常静脉模式的意外损伤有关.
结论:
- 肺部手术后的舌腔缺血主要不是由扭动引起的.
- 语言静脉排水或不寻常的静脉解剖的意外伤害可能是罪祸首.
- 这凸显了关于舌腔血管系统的谨慎外科技术的重要性.
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