摘要
目的 :探讨急诊电视胸腔镜 (VATS)处理血胸的价值。方法 :将 80例急诊处理的血胸分为VATS组和剖胸组进行回顾性对比分析。其中 19例为自发性血胸 ,5 7例为创伤性血胸 ,手术后血胸 4例。结果 :VATS组和剖胸组平均手术时间分别为 4 7(15～ 130 )min和 89(45～ 2 2 0 )min ,术中从胸内清除的血量分别为 1330 (80 0～ 340 0 )ml和 1830 (70 0～ 4 5 0 0 )ml。术后留置胸腔闭式引流管分别为 2 .5 (1～ 7)d和 3.7(2～ 13)d。术后并发症率分别为 2 .9% (1/ 35 )和 17.8% (8/ 4 5 )。结论 :急诊VATS适应于不伴有大血管或心脏损伤的自发性或创伤性血胸 ,且具有不加重损伤、手术较迅速、止血较可靠等优点。
Objective:To evaluate video-assisted thoracic surgery (VATS) in the setting of spontanous or traumatic hemothorax.Method:From Nov 1996 to Dec 2001, 35 patients with hemothorax treated urgently by VATS were compared retrospectively with 45 patients by thoracotomy. They consisted of 19 with spontaneous hemopneumothorax, 57 with traumatic hemothorax and 4 with hemothorax after thoracotomy. Result:Operating time of VATS group and thoracotomy group were 47( range 15～130) minutes vesus 89(45～220) minutes. The volume of evacuated blood from chest cavity of two groups were 1330(range 800～3400) ml vesus 1?830(700～4500)ml. The mean time to removal of chest tubes of two groups were 2.5(range 1～4)days vesus 3.7(range 2～13)days. There was no death during perioperative period. The postoperative morbidities of two groups were 2.9%(1/35) vesus 17.8%(8/45) respectively.Conclusions: VATS appears to be a safe, minimally invasive, accurate and efficient approach in diagnosis and treatment spontaneous or traumatic hemothorax, reducing need for thoracotomy.
出处
《中国内镜杂志》
CSCD
2002年第11期7-9,共3页
China Journal of Endoscopy
