电视胸腔镜手术治疗自发性气胸72例

目的总结电视胸腔镜手术(VATS)治疗自发性气胸(SP)的经验。方法72例自发性气胸患者采用VATS治疗,其中双侧VATS9例(同期手术6例),合并血胸急诊手术4例,辅助胸腔镜小切口15例。结果患者全部治愈,平均术后住院6.7天、留置胸引管5.1天,9例发生术后并发症,随访0.5月～3.5年,无术侧气胸复发。结论自发性气胸是临床常见疾病,易反复发作,肺大疱破裂是主要病因。VATS是彻底性治疗SP的首选方法,肺大疱切除是常用术式,VATS创伤小、康复快、并发症少、外观满意。手术时机宜早。

Experience of video-assisted thoracoscopic surgery for spontaneous pneumothorax (Report of 72 Cases)

Objective To evaluate the experience of video-assisted thoracoscopic surgery (VATS) in the management of spontaneous pneumothorax (SP). Methods VATS procedures were performed on 72 patients with SP. Among these, 9 patients were performed on both sides (6 were operated synchronously),4 patients complicated with haemothorax were adopted emergency operation, 15 patients were operated with video-assisted minithoracotomy. Results All patients were cured. The mean postoperative hospital stay was 6.7 days. The mean duration of chest drainage after surgery was 5.1 days. Postoperative complications occurred in 9 cases. There was no recurrence of SP by the follow-up visit of 0.5 month to 3.5 years. Conclusion VATS is an effective and preferred method for SP. The general technique is pulmonary bullectomy.