经腋下小切口治疗自发性气胸46例  

46 patients with spontareous pneumothorax were treated with trarsaxillary minithoracotomy

作　　者：孙长海[1] 张继洲[1] 冯希武[1] 

机构地区：[1]淮南市第一人民医院胸外科,安徽淮南232007

出　　处：《中国基层医药》2005年第9期1224-1225,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的总结选择性应用腋下小切口开胸手术治疗自发性气胸的临床经验。方法对46例自发性气胸患者采用腋下小切口行开胸手术,与以前同类常规前外侧切口开胸手术进行对照分析。结果全组无手术死亡,无其他并发症,手术时间(1.3±0.2)h,术后胸腔引流量(160±28.5)ml,术后平均住院天数(8±0.5)d,两组比较差异有显著意义(P<0.05)。结论腋下小切口治疗自发性气胸是一种安全可靠的微创手术,对无胸腔镜医院,不失为一种可取方法。Objective To sum up the clinical trial of adopting transaxillary minithoracotomy selectively to cure spontaneous pneumothorax patients. Methods 46 patients with spontaneous pneumothorax were selected and treated with transaxillary minithoraeotomy and we compared them with patients treated with anterolateral thoraeotomy as a control group. Results In the transaxillary minithoracotomy group, all cases had no death and other complication,the average length of operation was （1.3 ± 0.2） hours, total drainage volume after operation was （160 ± 28. 5 ）ml and period of hospital stay after operation was （8 ± 0.5 ） days. The difference between two groups proved to be statistically signiflcant（P〈 0.05 ）. Conclusion The transaxillary minithoracotomy is a safe, reliable and desirable mini-invasive operation when a spontaneous pneumothorax patient requires surgery in a hospital without video-assisted thoracoseopic surgery（VATS）.

关 键 词：腋下小切口 胸外科手术 气胸 自发性气胸 切口治疗 经腋下 开胸手术治疗 腋下小切口 平均住院天数 胸腔引流量 临床经验 对照分析 

分 类 号：R655[医药卫生—外科学]