胸腔镜手术治疗自发性气胸65例  

Treatment of spontaneous pneumothorax with video-assisted thoracoscopic surgery: Report of 65 cases

作　　者：王剑翁[1] 方正[1] 

机构地区：[1]福建医科大学附属厦门市第一医院胸心外科,361000

出　　处：《福建医药杂志》2005年第1期18-19,共2页Fujian Medical Journal

摘　　要：目的探讨经电视胸腔镜手术(VATS)治疗自发性气胸、肺大泡的方法和临床经验.方法1996年5月至2004年8月经VATS行肺大泡切除65例,其中4例辅以胸壁小切口,比较该类手术与传统开胸手术有何优点并总结手术的适应证、操作要点和疗效.结果本组无手术死亡,全部治愈,随访1个月～8年,无复发者.结论VATS或辅以小切口是自发性气胸、肺大泡的首选治疗方法.Objective To study the method and experience of treatment of spontaneous pneumothorax and emphysematous bullae with video-assisted thoracoscopic surgery(VATS).Methods From May 1996 to August 2004,65 patients with emphysematous bullae were operated by VATS,among them four cases with minimally invasive incision.The effect,indication,main technic procedure and advantages were compared with traditional open chest method.Results No death occurred among the patients perioperation.All patients were cured.No recurrence was found by follow-up of one month to eight years.Conclusion For the treatment of spontaneous pneumothorax and emphysematous bullae,VATS or with minimally invasive incision is in the first place.

关 键 词：治疗 自发性气胸 VATS 肺大泡切除 胸腔镜手术 手术死亡 胸壁小切口 结论 方法 目的 

分 类 号：R655[医药卫生—外科学] R561.4[医药卫生—临床医学]