腋下小切口手术治疗自发性气胸51例临床分析

目的探讨腋下小切口手术治疗自发性气胸的临床经验。方法回顾性分析2006年2月～2010年2月笔者所在医院经腋下小切口手术治疗的自发性气胸51例患者的临床资料。结果 51例患者无手术死亡,无严重手术并发症,随访观察3个月至3年无复发情况。结论采用腋下小切口手术治疗自发性气胸,与传统开胸手术比较,具有创伤小、恢复快、并发症少、疗效可靠、费用低等特点,是一种值得基层医院推广的较好治疗方式。

Clinical analysis of subaxillary small incision in treatment of 51 cases with spontaneous pneumothorax

Objective To explore the clinical value of minimally invasive surgical procedure in the treatment of spontaneous pneumothorax by subaxillary small incision. Methods From February 2006 to February 2010,51 patients with spontaneous pneumothorax were treated with surgical procedure by subaxillary small incision.The surgical procedure and clinical value were analyzed retrospectively. Results No operative deaths and complications happened in all cases. Followed-up for 3 to 36 months,no recurrence was observed in all paitents. Conclusion This method of subaxillary small incision was effective in treatment of spontaneous pneumothorax.Compared with traditional operation,the method have some advantages such as simple procedure,less blood,shorter hospital time,low incidence of complications.So this method should be promoted and applied in basic-level hospitals.