电视胸腔镜辅助下小切口治疗自发性气胸

目的 探讨胸腔镜辅助小切口治疗自发性气胸的方法和疗效.方法 双腔气管插管,静脉复合麻醉,腋中线第7肋间插入胸腔镜后,于腋中线胸大肌及背阔肌间做4~8cm切口,经第4或第5肋间进胸,镜下及直视下缝扎或切除肺大泡,干纱布摩擦壁层胸膜.结果 28例患者无手术死亡.手术时间(71±22)min,术后胸腔引流量约110mL,胸管留置时间平均1.5d,住院时间4~10d,随访3~6个月无复发.结论 胸腔镜辅助小切口治疗自发性气胸兼有传统开胸及微创手术的优点,创伤小,手术费用低.

Video-assisted minithoracotomy for spontaneous pneumothorax

Objective To explore the method and the effects of video-assisted minithoracotomy(VAMT)for spontaneous pneumothorax.Methods VAMTs were performed in 28 patients with spontaneous pneumothorax.The patients received the surgery under intravenous anesthesia with double-lumen endobronchial intubation inserted the video assisted thoracoscopy in the location at seventh intercostal space of middle axillary line.The incision was made according to the disease through the thoracoscope,usually in the fourth or fifth int...