胸腔镜单切口治疗肺大疱81例

目的探讨电视胸腔镜单孔切口切除肺大疱的特点及手术技巧。方法系统回顾我院2007年2月~2011年5月收治的335例肺大疱患者资料,对比胸腔单孔切口治疗和常规手术及胸腔多孔切口治疗对患者的手术出血量、手术创伤、术后疼痛、术后的胸液量以及患者术后长期的疗效进行比较分析。结果经单孔胸腔镜治疗的患者在切口美容、手术出血量、手术创伤、术后疼痛、术后的胸液量以及患者术后长期的疗效等方面明显优于常规手术组患者。结论应用胸腔镜治疗肺大疱手术损伤小、出血少,术后气胸复发率低,是治疗肺大疱的较好方法,在临床上值得推广。

Single port video-assisted thorascopic surgery in the treatment of 81 cases of pneumothorax

Objective To investigate the feature and technique of using single port operation with video-assisted thoracic surgery （VATS） to treat pneumothorax. Methods To review and analyze the clinical data of 335 cases of pneumothorax in our hospital between February 2007 and May 2011. Blood loss, trauma, postoperative pain, chest drainage and effect were compared in patients with single port VATS, muhihole VATS and traditional chest incisions surgery. Results The group with single port surgery showed more advantages in terms of blood loss, trauma, postoperative pain, chest drainage and effect than that of the group with traditional chest incisions. Conclusion Single port VATS operation to treat pneumothorax has the advantages of minimal invasion,low blood loss and low rates of recurrence.h is one of the better way of treatment for pneumothorax. It should be spreaded in clinical practice.