胸腔镜手术治疗支气管扩张症

目的探讨胸腔镜手术在支气管扩张症中的应用价值。方法2002年7月～2010年3月，对20例支气管扩张症行胸腔镜手术治疗。12例施行胸腔镜辅助小切口肺叶切除术，8例施行胸腔镜肺楔形切除术。结果1例因出血中转开胸。全组无围手术期死亡，围手术期并发症3例：术后肺持续漏气2例，肺部感染1例。平均胸管置管时间3．6d（2～7d），术后住院平均9d（7～14d）。20例随访3～36个月，均恢复良好。结论胸腔镜手术治疗支气管扩张症在技术上是安全可行的，对于具有手术指征需行肺楔形切除或肺叶切除的支气管扩张症患者，胸腔镜手术是一种值得推荐的手术方式。

Video-assisted thoracoscopic surgery in treatment of bronchiectasis

Objective To explore the value of video-assisted thoracoscopic surgery in the management of bronchiectasis.Methods Between July 2002 and March 2010,20 cases with bronchiectasis were treated with video-assisted thoracoscopic surgery in our hospital,Video-assisted thoracoscopic lobectomy was performed on 12 cases,and video-assisted thoracoscopic pulmonary wedge resection were performed on 8 cases.Results The operation was completed in almost all of the cases except one patient who was converted to open surger...