胸腔镜治疗婴幼儿先天性肺气道畸形16例分析  

Analysis of 16 Cases of Infantile Congenital Pulmonary Airway Malformation Treated by Thoracoscopy

作　　者：章国栋 ZHANG Guodong(Department of Pediatric Surgery,Xiamen Branch of Pediatrics Hospital of Fudan University(Xiamen Children's Hospital),Xiamen,Fujian Province,361006 China)

机构地区：[1]复旦大学附属儿科医院厦门分院(厦门市儿童医院)小儿外科,福建厦门361006

出　　处：《中外医疗》2021年第13期49-51,共3页China & Foreign Medical Treatment

摘　　要：目的总结胸腔镜治疗婴幼儿先天性肺气道畸形的经验。方法回顾性分析2018年3月—2020年7月期间经胸腔镜完成的16例先天性肺气道畸形手术患儿的年龄、病变部位、具体术式、手术时间、手术出血量等临床资料。结果16例患儿顺利完成手术,手术时间平均(176.44±50.44)min,平均出血量(28.63±48.51)mL,肺楔形切除2例,肺段切除3例,肺叶切除11例(其中2例含胸膜粘连松解、1例膈肌粘连松解);1例术后出血再次胸腔镜探查止血。结论经胸腔镜治疗婴幼儿肺气道畸形手术宜在早期、感染发生前进行,年幼不是手术限制;正确的血管处理方法和单肺通气技术的支持有助于手术者操作。Objective To summarize the experience of thoracoscopy in the treatment of congenital congenital pulmonary airway malformations in infants and young children.Methods A retrospective analysis of the clinical data of 16 children with congenital pulmonary airway malformation surgery performed by thoracoscopy from March 2018 to July 2020,including the age,lesion location,specific surgical procedure,surgical time,and surgical blood loss,etc.Results 16 sick children successfully completed the operation.The average operation time was(176.44±50.44)min,and the average blood loss was(28.63±48.51)mL.There were 2 cases of lung wedge resection,3 cases of lung resection,and 11 cases of lobectomy(including 2 cases with pleural adhesion release,1 case of diaphragmatic adhesion release);1 case of postoperative bleeding,re-thoracoscopic exploration to stop the bleeding.Conclusion Transthoracoscopic surgery for pulmonary airway malformations in infants and young children should be performed at an early stage and before infection occurs,and being young is not a limitation of the operation;the correct blood vessel management method and the support of one-lung ventilation technology are helpful for the operation.

关 键 词：先天性肺气道畸形 胸腔镜 单肺通气 

分 类 号：R4[医药卫生—临床医学]