非胸腔闭式引流技术在胸腔镜手术治疗原发性自发性气胸中的临床应用  

Clinical Application of Non Thoracic Closed Drainage in the Treatment of Primary Spontaneous Pneumothorax by Video-assisted Thoracoscopic Surgery

作　　者：杨朝坤[1] 吴远林[1] 王徽[1] 刘金鑫 刘德胜[1] 王永富 沈长军[1] 解少强 

机构地区：[1]宜宾市第二人民医院胸心外科,四川宜宾644000

出　　处：《四川医学》2017年第12期1435-1437,共3页Sichuan Medical Journal

基　　金：宜宾市科技局科技计划项目(编号:2016SF018)

摘　　要：目的探讨非胸腔闭式引流技术在胸腔镜手术治疗原发性自发性气胸中的临床应用效果。方法回顾性分析2015年6月至2016年10月36例胸腔镜手术治疗原发性自发性气胸患者术中采用留置深静脉管或负压吸引球的非胸腔闭式引流技术的临床资料。结果全组患者手术经过顺利,平均手术时间51min,术中平均出血量36m L,术后平均住院时间5.5d,术后平均镇痛次数0.5次,术后平均留置胸腔引流管2.9d,术后早期胸腔残余气胸发生率8%,无引流管脱落现象发生,切口均甲级愈合,均治愈出院。结论胸腔镜手术治疗原发性自发性气胸采用非胸腔闭式引流技术安全可靠,患者疼痛轻,恢复快,临床应用效果好。Objective To investigate the clinical effect of non thoracic closed drainage in the treatment of primary sponta- neous pneumothorax by video-assisted thoracoscopic surgery（VATS）. Methods The clinical data of 36 cases of primary spontane- ous pneumothorax treated by VATS with deep venous catheter or negative pressure suction ball were analyzed retrospectively from June 2015 to October 2016. Results The operation was successful in all patients. The average operation time was 51mins,the av- erage intraoperative blood loss was 36mL, the average postoperative hospital stay was 5.5ds, the average postoperative analgesia was O. 5 times,the average postoperative indwelling chest drainage tube time was 2. 9ds, and the incidence of thoracic residual pneumo- thorax in the early postoperative period was 8% ,no drainage tube falling off, all incisions healed by grade A and were cured and discharged. Conclusion Thoracoscopic surgery for the treatment of primary spontaneous pneumothorax with non thoracic closed drainage technique is safe and reliable, with mild pain, quick recovery, and good clinical effect.

关 键 词：电视胸腔镜手术 原发性自发性气胸 非胸腔闭式引流 

分 类 号：R655[医药卫生—外科学]