单操作孔胸腔镜治疗28例自发性气胸的临床观察  

Clinical observation of single operation aperture thoracoscope in treatment of 28 cases of spontaneous pneumothorax

作　　者：陈伟钢[1] 王化勇[1] 陈强[1] 

机构地区：[1]江苏省徐州市中心医院胸外科,徐州221002

出　　处：《临床医学》2013年第12期8-9,共2页Clinical Medicine

摘　　要：目的通过单操作孔胸腔镜的手术方式,探讨该手术方式的优缺点,分析其适应性。方法对徐州市中心医院2011年11月至2013年5月收治的28例自发性气胸患者行单操作孔胸腔镜肺大泡切除术,观察患者的手术创伤、手术操作时间、出血量、术后胸腔引流时间、术后并发症及随访复发率等。结果所有患者均未改为三洞法或改为开胸手术,术后未发生余肺不张,胸腔积液等并发症情况,术后患者疼痛耐受性较好,手术效果良好。结论单操作孔胸腔镜具有创伤小、更符合微创的理念,更易被患者接受。治疗肺大泡致自发性气胸的疗效确切,值得推广。Objective Through single aperture thoracoscope operation mode of operation, investigate the advantages and dis- advantages of the surgical procedure, and analyze its adaptability. Methods From November 2011 to May 2013, 28 patients with spontaneous pneumothorax were treated by single aperture thoracoscope lung bullae resection operation, surgical trauma, sur- gical operation time, blood loss, postoperative chest drainage time, postoperative complications and follow-up recurrence rate were observed. Results None of the patients changed to three holes method or to open chest surgery, no postoperative residual atelectasis, pleura] effusion, patients had good postoperative pain tolerance, and the operation effect was good. Conclusion Single aperture thoracoseope operation has small trauma, more in line with the concept of minimally invasive, are more likely to be accepted by patients. The effect on pulmonary bullae induced spontaneous pneumothorax, worthy of promotion.

关 键 词：胸腔镜 单操作孔 自发性气胸 疗效 

分 类 号：R655[医药卫生—外科学]