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浙江大学学报（医学版）
Journal of ZheJiang University(Medical Science)  1999, Vol. 28 Issue (4): 169-170    DOI: 10.3785/j.issn.1008-9292.1999.04.011
    
Application of Vertical Axillary Incision to Surgical Management in 195 Cases of Patent Ductus Arteriosus in children.
ZHANG Ze-wei, HU Jin, ZHU Xiong-kai
Children's Hospital, Medical College, Zhejiang University, Hangzhou 310003, China
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Abstract  

Objective:To evaluate the clinical value of vertical axillary incision in surgical management of patent ductus arteriosus (PDA) in children.Methods:From March 1989 we to December 1998 adopted vertical axillary incision in 195 cases of infants and children with PDA in thoracotomies.There were 67 cases of operations through extrapleural approach and 128 cases through intrapleural approach.Results:All patients were operated on successfully.The technique of muscle-sparing thoracotomy provided excellent cosmetic healing.Conclusion:This incision is short and hidden with an adequate exposure of intrathoracical structure.The technique can be used extensively in infants and children.

Key words： Ductus arteriosus, patent/surg      Vertical axillary incision      Children     
Received: 26 February 1999      Published: 25 July 1999
CLC:  R654.2  
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Cite this article:

ZHANG Ze-wei, HU Jin, ZHU Xiong-kai. Application of Vertical Axillary Incision to Surgical Management in 195 Cases of Patent Ductus Arteriosus in children.. Journal of ZheJiang University(Medical Science), 1999, 28(4): 169-170.

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https://www.zjujournals.com/med/10.3785/j.issn.1008-9292.1999.04.011     OR     https://www.zjujournals.com/med/Y1999/V28/I4/169


腋下直切口用于小儿动脉导管未闭术195例

目的:探讨腋下直切口在小儿动脉导管未闭术中的临床应用价值。方法:作者10年间应用腋下直切口行动脉导管未闭术195例。胸膜外途径67例,胸膜内途径128例。动脉导管未闭加垫结扎156例,切断缝合8例,钛铗钳闭术31例。结果:全组术野显露良好,手术顺利,无死亡。结论:该切口隐蔽、美观、组织损伤小,特别适合于婴幼儿开胸术,可在临床手术中广泛应用。


关键词： 动脉导管未闭/外科学,  腋下直切口,  儿童 
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