手术治疗自发性气胸318例

目的:分析手术治疗自发性气胸的临床效果。方法:总结手术治疗的自发性气胸318例,对气胸病因、手术疗效、结果随访及不同手术方法的比较等临床资料进行回顾性分析。结果:318例患者无手术及术后死亡,均顺利恢复出院,并发症发生率及复发率低。其中胸腔镜手术患者在手术时间、术后恢复方面优于其他术式。胸膜下肺大疱为本组手术病例的主要病因。结论:手术治疗自发性气胸安全有效。胸腔镜手术创伤小、手术时间短、术后恢复快,为自发性气胸外科治疗的首选方法。

Surgery for the treatment of spontaneous pneumothorax: a 318-case report

Objective:To explore the cause and operative results of surgical treatment for spontaneous pneumothorax. Method: The clinical data of 318 cases of spontaneous pneumothorax that underwent surgical treatment were analyzed. The results of different surgical methods were compared. Result: All patients recovered and the rate of complication and recurrence was low. The cases underwent video-assisted thoracoscopic surgery (VATS) had the shortest post-operative drainage time and hospital stay compared with those underwent classic thoracotomy and subaxillary mini thoracotomy. Bullae were the principal cause of spontaneous pneumothorax in the group. Conclusion: Operative method is safe and effective in the treatment of spontaneous pneumothorax. VATS is minimally invasive and is the first preference upon other methods.