单孔胸腔镜治疗肺大泡合并自发性气胸的应用分析  

Application analysis of single-hole thoracoscope in the treatment of pulmonary bullae complicated with spontaneous pneumothorax

作　　者：曹纪伟[1] 朱红军[1] 韩玉龙[1] 曹志坤[1] 朱富国[1] 

机构地区：[1]商丘市第一人民医院胸外科,476100

出　　处：《中国现代药物应用》2016年第19期11-12,共2页Chinese Journal of Modern Drug Application

摘　　要：目的探讨单孔胸腔镜治疗肺大泡合并自发性气胸的效果。方法 62例肺大泡合并自发性气胸患者,均采用单孔胸腔镜治疗,观察治疗效果。结果 62例患者均顺利完成手术,无中转开胸,无术中输血,手术时间30~80 min,术中出血10~120 ml,胸引管留置时间2~5 d,术后引流量60~150 ml,术后住院时间4~6 d,总住院时间5~10 d。随访5~12个月,均无复发。治疗有效率为100%。结论单孔胸腔镜手术可进一步减小创伤,疗效安全可靠,可广泛应用于肺大泡合并自发性气胸的治疗。Objective To investigate effect by single-hole thoracoscope in the treatment of pulmonary bullae complicated with spontaneous pneumothorax. Methods A total of 62 patients of pulmonary bullae complicated with spontaneous pneumothorax all received single-hole thoracoscope for treatment. Their curative effects were observed. Results All 62 patients received successful operation, without transferred thoracotomy or intraoperative blood transfusion. Their operation time was 30~80 min, intraoperative bleeding volume was 10~120 ml, chest tube indwelling time was 2~5 d, postoperative drainage volume was 60~150 ml, postoperative hospital stay time was 4~6 d, and total hospital stay time was 5~10 d. Follow-up for 5~12 months showed no recurrence. Effective rate of treatment was 100%. Conclusion Single-hole thoracoscope can further reduce trauma, and its effect is safe and creditable. This method can be widely applied in treating pulmonary bullae complicated with spontaneous pneumothorax.

关 键 词：单孔胸腔镜 肺大泡 自发性气胸 

分 类 号：R655[医药卫生—外科学]