胸腔镜胸膜固定术的临床应用  

Clinical application of thoracoscopic pleurodesis

作　　者：陈岸[1] 刘世强[1] 梁兆煜[1] 

机构地区：[1]广东省佛山市第二人民医院胸外科,佛山528000

出　　处：《岭南现代临床外科》2004年第1期25-27,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨胸腔镜胸膜固定术治疗气胸和恶性胸积液的效果。方法对1997年9月至2003年9月间采用胸腔镜胸膜固定术治疗气胸和恶性胸积液患者30例进行回顾性分析,其中肺大泡合并自发性气胸21例,恶性胸腔积液9例。结果本组所有患者无手术死亡。21例肺大泡患者经胸腔镜切除肺大泡并胸膜固定手术,术后平均住院时间7.4天,引流管放置时间2.8天,胸腔引流量180ml,无气胸复发。9例恶性胸腔积液患者术后平均住院时间11.2天,引流管放置时间4.4天,平均胸腔引流量420ml,随访3～16个月未见胸积液复发。结论使用胸腔镜施行胸膜固定术具有疗效确切、创伤小的优点,可以有效地防止气胸和胸积液复发。Objetive To investigate the effects of thoracoscopic pleurodesis i n patients with spontaneceus pneumothorax and malignant pleural effusions.Method s From September 1997 to September 2003, 30 cases with chest diseases received t horacoscopic pleurodesis were analyzed retrospectively.Results No death was foun d intraoperation in all cases.In the 21 cases with ballae of lung accompanied wi th spontaneous pneumothorax,postoperative average hospitalization time and thora cic drainage time were 7 4 days and 2.8 days respectively.The average volume of thoracic drainage was 180ml.No recurrence of pneumothorax was found.In the 9 ca ses with malignant pleural effusion,postoperative average hospitalization time a nd thoracic drainage time were 11 2 days and 4 4 days respectively.The average volume of thoracic drainage was 420 ml. With follow-up from 3 to 16 months,no recurrence of hydrothorax was found.Conclusion Thoracoscopic pleurodesis can eff ectively prevent recurrence of pneumothorax and hydrothorax,and it possesses pre cise and definite efficacy and minimally invasion.

关 键 词：胸腔镜 胸膜固定术 气胸 恶性胸积液 胸部疾病 

分 类 号：R655[医药卫生—外科学]