隐匿型自发性气胸22例临床分析  

Clinical analysis of 22 cases of occult spontaneous pneumothorax

作　　者：龚立宏[1] 罗伟彬[1] 王有钰[1] 钱有辉[1] 

机构地区：[1]深圳市第二人民医院胸外科,广东省深圳518001

出　　处：《中国基层医药》2016年第9期1387-1389,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的总结青壮年隐匿型自发性气胸的诊治经验。方法回顾分析22例青壮年隐匿型自发性气胸患者的影像资料和治疗过程。结果22例患者均完成手术治疗,其中胸腔镜手术手术18例,胸腔镜辅助小切口手术手术4例;术中难点在于肺尖部与胸膜顶粘连严重游离困难;22例患者手术顺利完成,无大出血,无中转开;随访1~3年无复发。结论青壮年隐匿型自发性气胸患者首选手术治疗,常因胸内粘连严重,手术难度大,手术医生术前应有充分准备;患者预后良好,早期诊断困难,临床上应以重视。Objective To summarize the experience of diagnosis and treatment of occult spontaneouspneumothorax in young adults. Methods To review and summarize the imaging data and treatment process of22 cases of occult spontaneous pneumothorax. Results Surgical treatment was performed in 22 patients. Amongthem, VATS operation in 18 cases, VATM operation in 4 cases. Operation difficulty was severe adhesion free existed inthe apex of lung and pleural top. 22 patients with the successful completion of the operation, no major bleeding duringthe operation, no open chest surgery. 1 -3 years follow - up without recurrence. Conclusion Surgical treatment is thefirst choice for occult spontaneous pneumothorax in young adults. Often due to severe adhesion of the chest, surgery isdifficult, the surgeon should be fully prepared before surgery. Patients with good prognosis, due to the difficulty of earlydiagnosis, clinicians should pay attention to.

关 键 词：气胸 胸腔镜检查 青年人 

分 类 号：R561.4[医药卫生—呼吸系统]