无肺大泡形成的复发性自发性气胸的手术对策  

Surgical Countermeasures for Recurrent Spontaneous Pneumothorax Without Pulmonary Bullae

作　　者：刘战国[1] 孙毅[1] 闫鹏 孟宪鹏[1] 

机构地区：[1]沛县人民医院胸外科,江苏沛县221600

出　　处：《中国继续医学教育》2017年第33期69-71,共3页China Continuing Medical Education

摘　　要：目的针对术中探查无肺大泡形成的复发性自发性气胸的手术处理对策的探讨。方法回顾2006年1月—2016年12月共收治19例无明显肺大泡形成的多次复发的自发性气胸胸腔镜下手术治疗对策的对比。结果所有患者均顺利完成手术,9例采取部分肺尖部组织切除+上半壁层胸膜碘伏摩擦的手术方式;另10例患者采取肺尖部组织切除+壁层胸膜广泛切除的手术方式,无术后严重并发症,均治愈出院。结论肺尖部组织切除+壁层胸膜广泛切除术是预防无明显肺大泡形成的复发性自发性气胸术后复发理想的手术方式。Objective To discuss the surgical treatment of recurrent spontaneous pneumothorax without pulmonary bullae during operation. Methods From January 2006 to December 2016, 19 cases of recurrent spontaneous pneumothorax without obvious pulmonary bullae were treated by thoracoscopic surgery. Results All patients were successfully completed surgery, 9 cases anderaent part biapical tissue resection ＋ banbishan pleura iodophor rubbing. The other 10 patients anderaent apical tissue resection plus parietal pleura surgical wide excision, there were no serious complications, all of them were cured and discharged. Conclusion Apical tissue resection ＋ pleura resection surgery is no obvious way to prevent pulmonary bulla formation of recurrent spontaneous pneumothorax recurrence ideal.

关 键 词：复发性自发性气胸 无肺大泡 肺尖部组织 壁层胸膜广泛切除术 

分 类 号：R561[医药卫生—呼吸系统]