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电视胸腔镜手术治疗肺部肿物75例分析
引用本文:李延峰,叶惠龙,洪银城.电视胸腔镜手术治疗肺部肿物75例分析[J].海南医学院学报,2008,14(5).
作者姓名:李延峰  叶惠龙  洪银城
作者单位:厦门市第三医院胸心外科,福建厦门,361100
摘    要:目的:探讨电视胸腔镜手术治疗肺部肿物的适应证及手术方法。方法:回顾性分析75例肺部肿物的临床资料,电视胸腔镜(VATS)29例,电视胸腔镜辅助小切口手术(VAMT)46例。结果:无手术死亡,术后并发肺部感染2例,胸腔积液1例,经胸管中注入高渗糖或滑石粉后痊愈出院。结论:电视胸腔镜手术治疗肺部肿物安全、可靠,电视胸腔镜辅助小切口手术对诊断为肺癌的病例可同时进行淋巴结清扫。

关 键 词:  肿瘤  肉芽肿  结核  胸腔镜检查  外科手术

Video-assisted thoracoscopic surgery for pulmonary lumps in 75 cases
LI Yan-feng,YE Hui-long,HONG Yin-cheng.Video-assisted thoracoscopic surgery for pulmonary lumps in 75 cases[J].Journal of Hainan Medical College,2008,14(5).
Authors:LI Yan-feng  YE Hui-long  HONG Yin-cheng
Abstract:Objective: To investigate the indication and operative metheod of video-assisted thoracoscopic surgery for pulmonary lumps.Methods: Data of 75 patients with pulmonary lumps treated by video-assisted thoracoscopic surgery(VATS)(29 cases)and video-assisted mini-thoracotomy(VAMT)(46 cases) were analyzed retrospectively.Results: No death occurred.2 patients complicated pulmonary infection,1 case had postoperative pleural effusion and was cured by treated using hyperosmotic glucose or talc through drainage tube;other patients discharged with satisfaction.Conclusion: VATS for pulmonary lumps is safe and reliable;VAMT may do lymphadenectomy in lung carcinoma.
Keywords:Lungs  Neoplasm  Granuloma  Tuberculosis  Thoracoscopy  Surgical procedures  operative
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