摘要
目的探讨胸腔镜辅助小切口治疗自发性气胸的方法和疗效。方法双腔气管插管,静脉复合麻醉,腋中线第7肋间插入胸腔镜后,于腋中线胸大肌及背阔肌间做4～8cm切口,经第4或第5肋间进胸,镜下及直视下缝扎或切除肺大泡,干纱布摩擦壁层胸膜。结果28例患者无手术死亡。手术时间(71±22)min,术后胸腔引流量约110mL,胸管留置时间平均1.5d,住院时间4～10d,随访3～6个月无复发。结论胸腔镜辅助小切口治疗自发性气胸兼有传统开胸及微创手术的优点,创伤小,手术费用低。
Objective To explore the method and the effects of video-assisted minithoracotomy（VAMT） for spontaneous pneumothorax. Methods VAMTs were performed in 28 patients with spontaneous pneumothorax. The patients received the surgery under intravenous anesthesia with double-lumen endobronchial intubation inserted the video assisted thoracoseopy in the location at seventh intercostal space of middle axillary line. The incision was made according to the disease through the thoracoscope, usually in the fourth or fifth intercostal space below the oxter with a length of 4 8cm. The procedures,suturing or stapling of blebs and pleural abrasion pleurodesis were applied for the patients. Results There was no operative death in the group. 28 VAMTs were accomplished successfully. The mean operating time was （71 ± 22）min for VAMT, the mean volume of chest drainage was 110 mL after the operation. The chest drainage tube was with drawn 1.5d postoperation. The mean postoperative hospital stay was 4- 10d. The follow up period was 3- 6 months,and there was no recurrences in all patients after operation. Conclusion Pulmonary surgery by VAMT has the advantages of less invasion and postoperative pain,fewer complications,quicker recovery and lower medical cost.
出处
《重庆医学》
CAS
CSCD
北大核心
2009年第3期325-325,328,共2页
Chongqing medicine
关键词
自发性气胸
胸腔镜辅助
小切口
spontaneous pneumothorax
video-assisted
minithoracotomy
