单操作孔胸腔镜下治疗肺大疱38例临床分析  

Clinical analysis on 38 cases of pulmonary bulla treatment with uniport video-assisted thoracoscope

作　　者：刘金山[1] 姜淮 张道忠[1] 王树军[1] 

机构地区：[1]淮南新华医院胸心外科,安徽省淮南232052

出　　处：《中国基层医药》2014年第23期3579-3581,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的：评价单操作孔胸腔镜手术在肺大疱治疗中的临床疗效和安全性。方法总结分析单操作孔胸腔镜下手术治疗的38例肺大疱患者资料。结果30例患者在全身麻醉＋双腔气管插管麻醉下，8例患者在全身麻醉＋单腔气管插管＋气管封堵器麻醉下，均采用单操作孔胸腔镜下手术切除肺大疱，其中2例患者同期行双侧肺大疱切除术。36例获得成功，1例单侧肺大疱术后因进行性血胸伴大量气胸再次开胸探查；1例单侧肺大疱术后因呼吸衰竭，呼吸机辅助呼吸2 d后好转。平均手术时间52 min。胸腔闭式引流管拔除平均时间3．2 d。术后住院时间6 d。术后随访7～39个月，无复发及其他并发症。无死亡病例。结论单操作孔胸腔镜下手术治疗肺大疱安全可靠，符合微创外科理念，值得推广。Objective To assess the clinical efficacy and safety of uniport video-assisted thoracoscopic surgery in treatment of pulmonary bulla.Methods Clinical data of 38 patients with pulmonary bulla treated with uniport video-assisted thoracoscopic surgery were analyzed.Results 30 patients under general anesthesia and double-chamber tracheal intubation anesthesia and 8 patients under general anesthesia and single-chamber tracheal intubation and tracheal plugger anesthesia underwent the resection of their pulmonary bulla through the surgery with uniport video-assisted thoracoscope, and 2 patients therein were simultaneously treated with bilateral resection of pulmonary bulla.36 patients were treated successfully;1 patient was given another exploratory thoracotomy after his unilateral surgery because of progressive hemothorax and substantial pneumothorax;and 1 patient underwent respiratory failure after his unilateral surgery and was improved in respiration 2 days after the help of a respirator.The average time of operations were 52 minutes.It averagely took 3.2 days to remove closed thoracic drainage pipes.The post-operation hospital stays took 6 days.The post-operation follow-up took 7-39 months,without relapse and other compli-cations.No death occurred in this group.Conclusion It is safe and reliable to treat pulmonary bulla by the surgery with uniport video-assisted thoracoscope,which is in line with the concept of minimally invasive surgery and therefore deserves promotion.

关 键 词：肺大泡切除 单操作孔 胸腔镜 

分 类 号：R655[医药卫生—外科学]