胸腔镜辅助小切口治疗重症自发性气胸  

Treatment of serious spontaneous pneumothorax by video-assisted minithoracotomy

作　　者：崔超[1] 李淼[1] 孙顺兴[1] 吴万鹏[1] 

机构地区：[1]天津市海河医院胸外科,天津300350

出　　处：《吉林医学》2010年第5期582-584,共3页Jilin Medical Journal

摘　　要：目的:探讨电视胸腔镜辅助小切口治疗重症自发性气胸的临床效果。方法:回顾分析56例重症自发性气胸患者的临床资料,患者分别接受常规剖胸及胸腔镜辅助小切口(VAMT)手术治疗,对临床效果进行对比分析。结果:30例经VAMT手术治疗的患者均一次性手术成功,与剖胸手术组比较,手术时间、切口疼痛时间、术后住院时间、术中失血量、术后胸腔引流量等均明显减少,差异有统计学意义(P<0.05)。结论:电视胸腔镜辅助小切口治疗重症自发性气胸微创、安全、疗效好的优点,值得推广。Objective To explore the clinical experience of treatment of serious spontaneous pneumothorax through a video - assisted minithoraeotomy. Method The clinical data of fifty -six patients with serious spontaneous pneumothorax underwent surgical operation through a video - assisted minithoracotomy were analyzed retrospectively. Results Thirty patients with serious spontaneous pneumothorax treated with video - assisted minithoraeotomy were perfomed successfully. The average length of operation, the duration of ineisional pain and period of hospital stay after operation were shorter,the amount of blood loss in the operation and the fluid amount of the thoracic close draniuage were less （P 〈 0. 05 ）. Conclusion Treatment of serious spontaneous pneumothorax with video -assisted minithoraeotomy has the advantages of minimal invasion, safe and high efficacy, which is worth further clinical application.

关 键 词：自发性气胸 胸腔镜辅助小切口手术 外科 

分 类 号：R655[医药卫生—外科学]