首页 | 本学科首页   官方微博 | 高级检索  
检索        

电视胸腔镜在急诊剖胸探查术中的应用
引用本文:熊刚,杨康,廖克龙,王海东,吴蔚.电视胸腔镜在急诊剖胸探查术中的应用[J].重庆医学,2004,33(12):1796-1797.
作者姓名:熊刚  杨康  廖克龙  王海东  吴蔚
作者单位:第三军医大学西南医院胸心外科,重庆,400038
摘    要:目的探讨和总结电视胸腔镜(VAT)在急诊剖胸探查手术中的应用经验.方法 1998年10月~2004年4月,采用电视胸腔镜/电视胸腔镜辅助小切口选择性地对25例病人进行了急诊剖胸探查手术,其中自发性血气胸11例,创伤性血气胸8例,凝固性血胸3例,膈肌损伤2例,胸腔内金属异物存留1例.结果 25例病人手术全部成功.本组手术时间为27~121min(平均为45.6min).有5例病人加作了小切口.分别随访2个月~5年,所有病人情况良好.结论在急诊剖胸探查手术中,电视胸腔镜是一种可供选择的手段.它具有诊断和治疗两方面的价值,并且其手术创伤小、恢复快、并发症少.如能严格把握手术适应征,电视胸腔镜可以在临床上安全、合理地应用.

关 键 词:电视胸腔镜  急诊探查手术
文章编号:1671-8348(2004)12-1796-02

Application of video-assisted thoracoscopic in emergent exploratory thoracotomy
XIONG Gang,YANG Kang,LIAO Ke-long,et al..Application of video-assisted thoracoscopic in emergent exploratory thoracotomy[J].Chongqing Medical Journal,2004,33(12):1796-1797.
Authors:XIONG Gang  YANG Kang  LIAO Ke-long  
Abstract:Objective To evaluate and summarize the clinical experience of the emergency exploratory thoracotomy with video-assisted thoracoscopic(VAT).Methods From October 1998 to April 2004, 25 patients underwent emergent exploratory thoracotomy with VAT/ VAT combined with auxiliary mini-incision electively. Among them spontaneous hemopneumothorax was in 11 cases, traumatic hemopneumothorax in 8, coagulable hemothorax in 3, diaphragmatic injuries in 2 and intrathoracic metallic foreign body in 1.Results Video-assisted thoracoscopic surgery(VATS) was successfully performed in all patients. The operation time was 27-121 min with an average of 45.6 min. Five cases were combined with auxiliary mini-incision. All patients were cured after operation and did well for a follow-up of 2 months-5 years.Conclusion Our evidence shows that VATS is an alternative approach for emergency exploratory thoracotomy. It provides not only diagnostic benefit but also therapeutic benefit and has the advantage of minimally invasive, speedy recovery, minimally complication. VATS is a safe and suitable therapeutic solution for properly selected patients.
Keywords:video-assisted thoracoscopic surgery (VATS)  the emergency exploratory thoracotomy
本文献已被 CNKI 维普 万方数据 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号