电视胸腔镜手术治疗自发性气胸（附80例报告）

目的总结电视胸腔镜手术（VATS）治疗自发性气胸的经验。方法回顾性分析我院2005年5月至2009年4月对80例自发性气胸行VATS治疗的临床资料，其中双侧同期行VATS7例；加辅助小切口3例，肺大疱采用Endo．GIA45mm直线型切割缝合器切除，均采取胸膜固定术。结果全部治愈，术后平均胸腔引流时问5．8天（3～12天），随访3个月至4年，2例复发。结论VATS是治疗自发性气胸的首选方法，创伤小，疗效好。

80 cases of spontaneous pneumothorax by video-assisted thoracic surgery

Objective To summarize the experience of treatment of spontaneous pneumothorax by video-assisted thoracic surgery. Methods We retrospectively analyzed the clinical data of 80 cases of spon- taneous pneumothorax by video-assisted thoracic surgery in our hospital from May 2005 to April 2009. 7 ca- ses underwent simultaneous bilateral surgery. 3 cases underwent video-assisted minithoracotomy surgery. All cases were underwent bullectomy by Endo-GIA45mm cutter and pleurodesis. Results All 80 patients were cured. The chest drainage tube was withdrawn 5.8 days postoperatively （3 to 12 days）. The follow-up peri- od was 3 monthes to 4 years, two cases underwent recurrence. Conclusion VATS is the first choice for the treatment of spontaneous pneumothorax. It has less invasion and better therapeutic effect.