电视胸腔镜辅助肺尖部“盲切术”治疗自发性气胸临床研究  

Video-assisted Thoracic Surgery for Resection the apex of lung to treat Spontaneous Pneumothorax

作　　者：宋波[1] 金健[1] 李霭建[1] 王革平[1] 王一帆[1] 杨杰[1] 邹萌萌[1] 

机构地区：[1]成都大学附属医院胸心外科,610081

出　　处：《内蒙古中医药》2011年第19期118-119,共2页Inner Mongolia Journal of Traditional Chinese Medicine

摘　　要：目的:探讨电视胸腔镜辅助下肺尖部切除术治疗复发性自发性气胸的适应症及疗效评价。方法:采用VATS下肺尖部"盲切术"治疗18例复发性气胸患者。评估术后平均留置胸管时间、术后平均住院时间及术后复发率。结果:本组患者均无中转开胸,无手术死亡。平均留置胸管时间2.00±0.49天,较对照组2.33±0.48天短,差异有统计学意义(P<0.05);术后平均住院3.16±0.71天,两组差异无统计学意义(P>0.05)。随诊3月～1.5年无复发,差异性显著(P<0.01)。结论:对于胸片或常规胸部CT平扫没有发现肺大疱的复发性自发性气胸患者,积极行VATS手术治疗,疗效确切,复发率低。Objective ： To estimate video- assisted thoracic surgery（VATS） for resection the apex of lung to treat spontaneous pneumothorax（SP） . Method：18 patients of recurrent spontaneous pneumothorax were treated by resection the apex of lung by VATS, who were not confirmed SP by CT. Then to compare the duration of drainage , postoperative hospital stay , and the recurerncerate. Result ： Compared with control group, the duration of drainage in the operation group were much shorter , and the recurerncerate were much lower. All the differences were significant. Conclusion： Resection the apex of lung to treat SP by VATS was effective and feasible.

关 键 词：电视胸腔镜手术 自发性气胸 肺大疱破裂 手术指征 

分 类 号：R655[医药卫生—外科学]