电视胸腔镜辅助手术治疗胸腔疾病94例临床分析  

Video-assisted thoracoscopic surgery in the treatment of thoracic diseases:Clinical analysis of 94 cases

作　　者：杨朝坤[1] 吴远林[1] 周鸿志[1] 沈长军[1] 王徽[1] 

机构地区：[1]四川省宜宾市第二人民医院胸心外科,四川宜宾644000

出　　处：《实用医院临床杂志》2011年第1期80-82,共3页Practical Journal of Clinical Medicine

摘　　要：目的探讨电视胸腔镜辅助手术治疗胸腔疾病的价值，以利手术方式微创化。方法采用电视胸腔镜辅助手术治疗94例胸腔疾病，总结分析治疗效果及经验。结果全组患者对手术切口美观程度均较满意；手术时间为40—300分钟，平均140分钟；术中出血10～800ml，平均105．8ml；术后住院时间3～20天，平均8．2天；手术成功率98．9％，术后再次开胸手术1例，无围手术期死亡，均治愈或好转出院；住院费用与常规开胸手术基本相同。结论电视胸腔镜辅助手术治疗胸腔疾病创伤小，手术安全，切口较美观，患者恢复快，对适合患者应作为常规手术方式，尤其在经济不发达的中小城市医院有广泛开展的价值。Objective To explore the effect of video-assisted thoracoscopic surgery （ VATS） for thoracic diseases in order to promote the minimally invasive surgery. Methods Data of 94 cases of thoracic diseases treated by VATS were retrospectively analyzed. And the effect was evaluated. Results For all the patients, the incision was beautiful,the average operative duration was 140 min （40 -300 min） ,the average blood loss was 105.8 ml （ 10 -800 ml） ,the average length of postoperative stay was 8.2 days （3 - 20d） and the success rate of operation was 98. 9%. One patient after operation underwent second thoracotomy. No perioperative death occurred. And the hospitalization expense of patients treated by VATS was the same as that treated by traditional thoracotomy. Conclusion VATS for thoracic diseases is mini-invasive and safe. The incision is beautiful. Patients recover quickly. It could be the conventional choice of operation for certain patients and is suggested to be used in hospitals of underdeveloped cities.

关 键 词：电视胸腔镜 胸腔疾病 微创手术 

分 类 号：R616.5[医药卫生—外科学] R655[医药卫生—临床医学]