电视胸腔镜辅助小切口治疗青年自发性气胸  

Application of Video-assisted Minithoracotomy for Spontaneous Pneumothorax in Young Patients

作　　者：王前进[1] 赵汉卫[1] 孙强[1] 王礼俊[1] 薛光[1] 

机构地区：[1]解放军第123医院胸外科,安徽蚌埠233015

出　　处：《临床肺科杂志》2011年第7期993-994,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨胸腔镜辅助小切口(VAMT)在青年自发性气胸中的应用价值。方法回顾分析2007年10月～2009年12月20例青年自发性气胸行电视胸腔镜辅助小切口肺大疱切除及胸膜固定的临床资料。结果 20例患者无手术死亡,手术时间60～100 min,术中出血量40～90 mL,术后胸腔引流管留置时间3～5 d,随访6～24月,无气胸复发。结论胸腔镜辅助小切口治疗自发性气胸综合了传统开胸和常规VATS手术的优点,并弥补了两者的不足,创伤小、恢复快、住院时间短、术后不易复发,不增加患者经济负担,适合在中国普及开展。Objective To investigate the clinical value of video-assisted minithoracotomy（VAMT） for spontaneous pneumothorax in young patients.Methods The clinical data of 20 cases of spontaneous pneumothorax in young patients who accepted bullous resection with VAMT and pleure fixation from October 2007 to December 2009 were analyzed retrospectively bullectomy and pleurodes from october 2007 to december 2009 were analyzed retrospectively.Results There was no operative death in the group.The mean opearting time was 60 to 90 minutes,the amount of bleeding was 40 to 90mL and the chest drainage tube was detained for 3 to 5 days.No recurrence case was found in the 6 to 24 months follow-up.Conclusion Pulmonary surgery by VAMT has advantages of less invasion and bleeding,quicker recovery,shorter time in hospiral and lower medical cost.

关 键 词：自发性气胸 电视胸腔镜辅助小切口 肺大疱 

分 类 号：R655[医药卫生—外科学]