| 电视胸腔镜手术治疗胸部疾病36例 |
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| 引用本文： | 王家顺,李劲松,冯伦高,杨林,翟伟,丁静民. 电视胸腔镜手术治疗胸部疾病36例[J]. 华中科技大学学报(医学版), 2001, 30(3): 255-257 |
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| 作者姓名： | 王家顺 李劲松 冯伦高 杨林 翟伟 丁静民 |
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| 作者单位： | 华中科技大学同济医学院附属协和医院胸外科, |
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| 摘 要： | 1999年6月至2000年5月用电视胸腔镜手术（VATS）治疗胸部疾病36例，其中包括自发性气胸、肺大疱切除术20例；凝固性血胸清除、纤维膜剥脱术4例；纵隔肿瘤切除术3例；肺叶切除术2例；肺楔形切除术3例；胸膜间皮瘤切除术1例；广泛性恶性胸膜间皮瘤活检术1例；肺癌胸腔镜探查后中转开胸术2例。治疗效果满意，无手术死亡和并发症发生。纤维支气管镜指导下的双腔气管插管技术和肺功能差者单肺通气时采用CPAP法预防、纠正低氧血症是VATS手术成功的前提和条件。VATS具有创伤小、痛苦轻、恢复快和对美容影响小的优点。自发性气胸、肺大疱切除可列为首选治疗术式。VATS辅助胸壁小切口是较理想的微创手术方式。目前VATS临床应用有局限性，不能代替常规开胸手术，对手术操作难度大的病变或较大的肿瘤仍选择常规开胸手术为宜。
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| 关 键 词： | 电视胸腔镜手术 胸外科手术 |
| 修稿时间： | 2000-06-16 |
Video-assisted Thoracoscopic Surgery in the Treatment of ThoracicDiseases:A Report of 36 Cases |
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| Wang Jiashun,Li Jinsong,Feng Lungao et al. Video-assisted Thoracoscopic Surgery in the Treatment of ThoracicDiseases:A Report of 36 Cases[J]. Journal of Huazhong University of Science and Technology(Health Sciences), 2001, 30(3): 255-257 |
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| Authors: | Wang Jiashun Li Jinsong Feng Lungao et al |
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| Affiliation: | Wang Jiashun,Li Jinsong,Feng Lungao et al Department of Thoracic Surgery,Xiehe Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022 |
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| Abstract: | From June 1999 to May 2000, 36 patients successfully underwent video assisted thoracoscopic surgery (VATS). The operation included lobectomy of lung, excision of mediastinal tumor and so on. The results were satisfactory without operative mortality and postoperative complications. It was found that double cavity intubation under a fibre bronchoscope and CPAP was the precondition for preventing and correcting hypoxia. VATS is a safe, effective and less traumatic procedure in the treatment of some thoracic diseases. It can be used as the first choice for spontaneous pneumothorax and bullae of lung. At the same time, it was considered that VATS can not replace thoracotomy at present. |
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| Keywords: | video-assisted thoracoscopic surgery thoracic surgery |
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