目的 探讨电视胸腔镜手术(video assisted thoracoscopic surgery,VATS)治疗自发性气胸的价值.方法 应用电视胸腔镜手术对96例自发性气胸行VATS肺大疱切除及胸膜固定术.结果 96例手术均成功,全组无死亡病例,无肺炎、肺不张等并发症.手术时间55～240 min,平均114 min;术中平均出血量46 ml.术后平均拔管时间3.1 d,2例漏气时间大于7 d.术后住院4～14 d,平均7.5 d,平均总住院时间11.3 d.96例随访3～35个月,平均15个月,无复发.结论 VATS安全可靠、创伤小、手术并发症少,是治疗自发性气胸的首选方法.%Aim To investigate the clinical application of video-assisted thoracoscopic surgery for treating spontaneous pneumothorax.Methods 96 cases of spontaneous pneumothorax were treated by video-assisted thoracoscopic surgery with pulmonary bulla resection and pleurodesis. Results All cases were cured,no death,no pneumonia,atelectasis and such complication. The operation time was 55 to 240 min,and the mean operation time was 114 min. The mean blood loss during operation was 46 ml. The mean tube drawing time was 3.1 days,while 2 cases was more than 7 days. Hospitalized time after operation was 4 to 14 days,and the mean hospitalized time after operation was 7.5 days. The mean hospitalized time was 11.3 days. No recurrence of pneumothorax was found after 3 to 35 months, mean 15months of follow-up. Conclusion Video-assisted thoracoscopic surgery for treating spontaneous pneumothorax is safe,little traumatic and has less compilcations. It should be the first choice for treating spontaneous pneumothorax.
展开▼
