胸腔镜辅助下小切口肺大疱切除术治疗气胸36例临床体会

【摘要】〓目的〓探讨在基层医院应用胸腔镜辅助下小切口肺切除+胸膜固定术治疗气胸的临床效果。方法〓采用胸腔镜辅助下小切口肺切除+胸膜固定术治疗气胸36例,观察术中手术时间、术中出血、术后胸液引流量、引流管留置时间、平均住院时间、术后并发症等临床指标。结果〓36例患者电视胸腔镜手术均获成功,术后并发症为术后持续漏气,无手术死亡。手术时间83~176 min,引流液总量35~350 mL,平均住院时间6.8天。结论〓胸腔镜辅助下小切口肺切除术治疗气胸是安全的和有效的治疗方法,适合在基层开展。

Experience in thoracoscopy assisted minor incision bullectomy for 36 cases with pneumothorax

【Abstrcat】 Objective To evaluate the technically feasibleness and effects of video-assisted thoracoscopic surgery assisted mini thoracic incisions(VAMT) in the treatment of 36 cases with pneumothorax. Methods〓Thirty-six cases with pneumothorax were analyzed retrospectively. The blood loss, operation time, thoracic drainage, hospital stay were observed. Results〓Thirty-six cases with pneumothorax were performed by combination of thoracoscopy and assisted mini thpracic incisions. The main post-operation complication was air leakage, without dead cases. The operating time ranged from 83 to 176 minutes...The bleeding form 35-350 ml and the average hospital stay was 6.8 days. Conclusion〓It is a technically feasible, safe and effective surgical procedure by using VATS for treating pneumothorax in primary hospital.