经胸骨正中切口治疗双侧气胸并肺大泡的临床研究

摘要

目的：探讨经胸骨切口手术治疗双侧肺尖部大泡破裂并气胸的疗效。方法：经胸骨正中切口一期手术切除双侧肺尖部大泡，术后经8~15年的随访观察。结果：本组30例病例临床症状消失，胸部透视及胸部CT扫描无气胸及肺大泡征象，复查肺功能正常。结论：通过对国内外双侧肺尖部大泡破裂所致双侧气胸的治疗研究表明，与传统后外侧切口、腋下切小切口、VATS同期开胸对比，具有明显的优势，手术方法简单，不影响呼吸功能，对患者创伤小，愈合好，痛苦小，在基层医院无胸腔镜的条件下值得推广应用。%Objective:To explore median sternotomy incision for rupture of bilateral apical bullae of Lung complicated pneumothorax. Method:One-stage operation of median sternotomy incision removed bullae on the tip of bilateral lung and then followed-up 8 to 15 years after operation. Result:The clinical symptoms of 30 cases disappeared. Chest fluoroscopy and chest CT scan showed that there was no sign of pneumothorax and bullae of lung. Lung function of the patients showed normal through review. Conclusion:Through the study of the treatment of pneumothorax caused by rupture of bilateral apical bullae of lung at home and abroad,it shows that it has obvious advantages compared with conventional posterolateral incision,small incision through alar cut,and thoracotomy by VATS at the same period. The operation is simple,and has no side effect on respiratory function,as well as has small trauma. Wound healing and the pain is minimum. Under the condition of basic-level hospitals without thoracoscope,it is worth popularization and application.