应用电视胸腔镜技术治疗自发性气胸的临床研究  

Clinical application of video-assisted thoracoscopic surgery in the treatment of spontaneous pneumothorax

作　　者：刘军[1] 徐勉[1] 张静[1] 司玫[1] 沙元霞[1] 周康玲[1] 

机构地区：[1]安徽省蚌埠市第三人民医院胸心外科,233000

出　　处：《淮海医药》2009年第2期112-113,共2页Journal of Huaihai Medicine

摘　　要：目的总结应用电视胸腔镜技术治疗自发性气胸32例的经验，探讨手术方法及疗效。方法本组32例，男29例，女3例，双侧同期手术2例。均采用电视胸腔镜手术（VATS）或胸腔镜小切口术（VAMT）治疗自发性气胸。结果32例全部治愈。手术时间50～160min，平均108min。本组手术后平均住院日13．5d，无1例死亡。结论电视胸腔镜手术及胸腔镜小切口手术具有风险小、安全、疗效好及术后并发症少等特点，是治疗自发性气胸首选的手术方式。Objective To summarize the experience of applying video-assisted thoracoscopic surgery （ VATS） in the treatment of spontaneous pneumothorax and explore its techniques and therapeutic effect. Methods A group of 32 cases （ m 29 f 3）were selected, of whom two underwent simultaneous bilateral surgery. All the cases underwent VATS or video-assisted minithoracotomy（ VAMT）to treat spontaneous pneumothorax.. Results All the 32 cases recovered after operation. The operation lasted 50 - 160 min（ mean 108min）. The average postoperative hospitalization was 13.5 d,with no death. Conclusion VATS and VAMT are characteristic of low risk, high security,better therapeutic effect and fewer complications. It is the best choice for the treatment of spontaneous pneumothorax.

关 键 词：自发性气胸 电视胸腔镜手术 胸腔镜小切口术 

分 类 号：R561.4[医药卫生—呼吸系统]