VATS下单操作孔治疗自发性气胸的研究

目的总结在电视胸腔镜(VATS)下单操作孔肺大疱切除术(入院后96 h内)治疗原发性自发性气胸(SP)的临床经验。 方法通过回顾性分析方法进行临床对照研究，全面评估其治疗效果，2008年1月至2015年12月的30例SP伴肺大疱形成患者接受VATS下单操作孔肺大疱切除术。 结果所有患者经过早期手术综合治疗，均取得了良好的效果，无再次手术治疗、无死亡等严重并发症发生。 结论VATS下单操作孔肺大疱切除术治疗SP，疗效确切、安全可行，降低并发症发生率，是一种简单、安全有效、比较理想的治疗方法，值得临床推广应用。

Treatment of spontaneous pneumothorax by single operation with VATS

ObjectiveTo summarize in video-assisted thoracoscopic surgery (VATS) single hole operation for lung bullae resection (96 h after admission) on the treatment of primary spontaneous pneumothorax (SP) clinical experience. MethodsWe retrospectively clinical control study, a comprehensive assessment of the treatment effect, Jan. 2008 to Dec.2015 for 30 cases of SP with pulmonary bullae formation of patients undergoing VATS single hole operation for lung bullae resection. ResultsAll the patients were treated with early operation, and all the patients achieved good results. No serious complications such as reoperation and no death occurred. ConclusionsVATS single hole operation for lung bullae resection in the treatment of SP, curative effect is exact, which is safe and feasible, and reduce the incidence of complications. It is a simple, safe and effective, ideal method of treatment, it is worth of clinical application.