电视胸腔镜下治疗胸外伤15例  

15 Cases of The Clinical Analysis of the Treatment of Thoracic Trauma with Video-assisted Thoracoscopic surgery

作　　者：杨文刚[1] 邓永[1] 施进[1] 

机构地区：[1]射阳县人民医院胸(心)外科,江苏射阳224300

出　　处：《菏泽医学专科学校学报》2011年第3期23-24,共2页Journal of Heze Medical College

摘　　要：目的探讨应用电视胸腔镜在治疗胸外伤的疗效。方法 15例胸外伤使用电视胸腔镜行胸腔内探查、胸腔内止血、肺叶楔形切除术、肺裂口修补术、凝固性血胸清除术。结果 15例全部治愈,单纯电视胸腔镜14例,中转开胸1例。手术时间(89.9±30.0)min,术后24～72 h拔除胸腔闭式引流管,术后引流量(150±50.0)ml。住院时间5～10 d,平均5.6 d,切口甲级愈合,13例术后无并发症,其中2例肺不张经积极治疗后治愈。15例均随访6个月,恢复良好,无与创伤有关的并发症发生。结论合理应用电视胸腔镜进行胸外伤救治诊断明确,救治及时,较单纯剖胸探查手术具有创伤小、恢复快、住院时间短等优点。Objective To investigate the VATS （video-assisted thoracoscopic surgery, VATS） diagnosis, treatment feasibility and advantages of chest trauma. Methods 15 patients with chest trauma and chest used the VATS exploration line, intrathoracic bleeding, lung wedge resection, lung repair cracks, solidification hemothorax dissection. Results 16 patients were cured, simple VATS were 14 cases, transit thoracotomy was in 1 case. Operative time was （89.9±30.0） min, 24-72h after closed thoracic drainage tube removal, postoperative drainage was （150±50.0） ml. Hospitalization time was 5-10d, average was 5.6d, wound healing was good, 13 cases were no complications, including 2 cases of atelectasis, was cured by active treatment. 15 patients were followed up for six months, recovered well and no complications related with the trauma. Conclusion Rationals use of VATS for treatment of chest trauma das clear diagnosis, treatment in a timely, compared with a simple exploratory thoracotomy surgery, it has some advantages of less trauma, quicker recovery, shorter hospital stay and so on.

关 键 词：电视胸腔镜/治疗应用 胸外伤/治疗 

分 类 号：R655[医药卫生—外科学] R561.5[医药卫生—临床医学]