电视辅助胸腔镜外科简史  

Short history of video - assisted thoracoscopic surgery

作　　者：宋应明[1] 连长红[1] 

机构地区：[1]长治医学院附属和平医院肿瘤科,山西省长治市046000

出　　处：《中华医史杂志》2012年第5期276-282,共7页Chinese Journal of Medical History

摘　　要：1910年，腹腔镜首次被应用于进行胸腔粘连烙断术，以解决肺结核空洞患者的胸膜粘连问题，从而开创了胸腔镜手术的先河。但在1945年以来，随着链霉素、雷米封等抗结核药的合成和临床应用，胸腔镜外科逐渐淡出了临床。20世纪80年代，电视腹腔镜成功地进行了胆囊切除，为电视胸腔镜的发展奠定了基础。1986年，微型内镜摄像技术被应用于胸腔镜。20世纪90年代，电视辅助胸腔镜手术渐次应用于多种疾病的诊断和治疗，例如手汗症、胸膜疾病、肺脏疾病、食管疾病、心脏外科等。随着电视辅助胸腔镜外科的不断发展，其应用范围也越来越广，在一些医学中心，胸腔镜手术已占到了胸外科手术的80％以上。In 1910, laparoscopy was applied in the cautery division of pleural adhesions for the first time for cavity pulmonary tuberculosis patients, which was the beginning of thoracoscopic surgery. After 1945, with the introduction of antitnberculosis drugs like streptomycin and isoniazid, thoracoscopic surgery faded out. In the 1980s, success of videoassisted laparoscopic surgery in cholecystectomy created a basis for thoracoscopic surgery （VATS）. In 1986, micro endoscopic technique was applied in thoracoscopy. In the 1990s, VATS was used in diagnosis and treatment of many kinds of diseases, such as palmar hyperhidrosis, pleural diseases, lung diseases, esophageal diseases and cardiac surgery. With the development of VATS, its application range became wider and wider. In some medical centers, VATS represents 80% of thoracic surgeries.

关 键 词：胸腔镜 电视胸腔镜 胸外科 

分 类 号：R655[医药卫生—外科学]