电视胸腔镜在自发性气胸中的应用  

The value of video-assisted thoracic surgery in the treatment of spontaneous pneumothorax

作　　者：王启[1] 曹强[1] 许瑞彬[1] 任清泉[1] 张钦[1] 

机构地区：[1]陕西省延安市延安大学附属医院胸心外科,716000

出　　处：《中国实用医药》2011年第27期47-48,共2页China Practical Medicine

摘　　要：目的探讨胸腔镜手术在自发性气胸治疗中的临床价值。方法回顾性分析我院自发性气胸患者临床资料,对比分析传统手术治疗(n=39)与电视胸腔镜手术治疗(n=48)在切口长度、术中出血量、手术时间、术后胸腔引流管放置时间、液体引流量、住院时间以及术后复发率等方面的差异。结果电视胸腔镜手术治疗患者在切口长度、术中出血量、手术时间、术后胸腔引流管放置时间、液体引流量、住院时间等方面均较开胸手术治疗明显降低(P<0.05),两种治疗方式的术后1年复发率无明显差异(P>0.05)。结论与开胸手术治疗相比,电视胸腔镜在治疗自发性气胸中具有明显优势。Objective To explore the value of video-assisted thoracic surgery （VATS） in the treatment of spontaneous pneumothorax compared with traditional operation methods. Methods Patients with spontaneous pneumothorax were assigned into traditional operation group （ n = 39） and VATS group （ n = 48 ） according to operation methods. Incision lengths, blood losses, operation time, drainage tube remove time, postoperative drainage, length of stay and recurrence rate were compared between 2 groups. Results Incision lengths, blood losses, operation time, drainage tube remove time, postoperative drainage and length of stay in VATS group were shorter compared with traditional operation group （P 〈 0. 05 ）. No difference of recurrence rate could be detected within 1 year between 2 groups （P 〉 0. 05）. Conclusion VATS is an effective treatment for sponta- neous pneumothorax, and has some advantage over traditional operation methods.

关 键 词：电视胸腔镜 开胸手术 自发性气胸 

分 类 号：R655[医药卫生—外科学]