| 105例胸腔镜手术临床应用研究 |
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| 引用本文： | 沈慧松,陈建乐,许贤创,闫鹏.105例胸腔镜手术临床应用研究[J].微创医学,2011,6(6):528-530. |
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| 作者姓名： | 沈慧松 陈建乐 许贤创 闫鹏 |
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| 作者单位： | 江苏省泗洪县人民医院胸外科,泗洪县,223900 |
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| 摘 要： | 目的探讨并总结胸腔镜治疗某些胸部疾病的体会。方法行胸腔镜手术105例,其中自发性气胸肺大疱切除71例,巨大肺大疱切除2例,肺叶或肺楔形切除术19例,纵隔肿瘤和囊肿切除5例,胸腔镜辅助Nuss手术2例,胸腔积液胸膜活检术2例,胸外伤手术3例,肺叶切除术后包裹性胸腔积液1例。结果术后并发症7例占6.67%,其中复张性肺水肿1例,肺泡漏带引流管超过7 d者3例,胸腔出血1例再次开胸止血,术后胸腔积液积气2例,再次置闭式引流管。结论胸腔镜手术可替代传统开胸手术治疗某些胸部疾病,基层胸外科医生应加强技术培训,掌握循序渐进的原则,可有效减少并发症,根据适应证灵活选择胸腔镜或胸腔镜辅助的微创外科技术。
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| 关 键 词： | 胸腔镜 术后并发症 适应证 |
Clinical application study on video-assisted thoracoscopic surgery (a report of 105 cases) |
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| SHEN Hui-song,CHEN Jian-le,XU Xian-chuang,YAN Peng.Clinical application study on video-assisted thoracoscopic surgery (a report of 105 cases)[J].Minimally Invasive Medicine Journal,2011,6(6):528-530. |
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| Authors: | SHEN Hui-song CHEN Jian-le XU Xian-chuang YAN Peng |
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| Institution: | (Department of Thoracic Surgery,the People′s Hospital of Sihong,223900,Jiangsu,China) |
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| Abstract: | Objective To evaluate and summary clinical experience in video-assisted thoracoscopic surgery(VATS) for some thoracic diseases.Methods 105 patients were subjected to thoracoscopic surgery.Among them were 71 bleb resection for spontaneous pneumothoraxspontaneous pneumothorax patients,2 bullectomy,19 lobectomy or wedge-shaped lung resection,5 resection of mediastinal tumor or cyst,2 thoracoscopic minimally invasive Nuss,2 pleural effusion biopsy,3 treatment of thoracic injury,and 1 encapsulated pleural effusi... |
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| Keywords: | Thoracoscopes Postoperative complications Indication |
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