摘要
目的探讨胸腔镜手术治疗自发性气胸的临床疗效。方法回顾性分析2010年5月～2012年10月VATS治疗64例自发性气胸的临床资料,总结手术时间、出血量、引流量、并发症及住院时间等指标,评价治疗效果。结果 64例患者均顺利完成手术,手术时间30～90min,术中出血10～50mL,术后引流量50～200mL,术后胸管留置时间2～7d,术后住院时间5～10d。术后并发症:3例发生术后漏气,1例发生肺膨胀不全,术后出现复张性肺水肿并呼吸衰竭,均给予相应处理后痊愈,本组无死亡病例。术后随访1～24个月,无气胸复发。结论胸腔镜下手术治疗自发性气胸创伤小,恢复快,并发症少,是目前治疗自发性气胸的首选方法。
Objective To evalute the clinical efficacy of thoracoscopic surgery for spontaneous pneumothorax. Methods From May 2010 to October 2012, 64 patientes of spontaneous pneumothorax treated with thoracoscopy were analyzed retrospectivly. The operative time, hospitalization time, peri -operative bleeding and the drainage tube were observed in this group.Results All cases were cured, and no patient died. The average operation time was 30- 90min, Intraoperative bleeding was 10- 50mL, postoperative drainage volume was 50- 200mL, postoperative chest tube indwelling time was 2 to 7 days, postoperative hospital stay was 5 - 10 days. 3 cases of postoperative air leak, 1 case of atelectasis, were cured by appropriate treatment. Following-up 1-24 months of Postoperative, no pneumothorax was recurred.Conclusion Treating spontaneous pneumothorax by thoracoscope operation with the advantages of definite effect, small trauma ,faster recovery, good hairdressing effect,not easy to relapse etc, can be used as the preferred treatment method.
出处
《当代医学》
2012年第36期75-76,共2页
Contemporary Medicine
关键词
电视胸腔镜
手术治疗
自发性气胸
Thoracoscopy
Thoracic surgery
Spontaneous pneumothorax
