CAJ | 학술논문

目的：探讨胸腔镜双侧一期手术治疗自发性气胸的手术方法、并发症，评价该术式的可行性、安全性。方法：该组21例均为双侧同时自发气胸或一侧反复自发气胸合并对侧肺大泡的病例，应用胸腔镜双侧一期手术治疗。结果：该组病例均经胸腔镜手术治疗，术后出现漏气(大于4d)2例，术后复发性肺水肿需机械通气1例，术后复发1例，无死亡病例，均经手术治疗痊愈。随访7～77个月(平均32.7个月)。与该组同期127例单侧自发性气胸胸腔镜手术治疗、术后并发症比较(P＞0.05)，无显著差异。结论：胸腔镜一期手术是治疗双侧自发性气胸或一侧气胸而另一侧证实有肺大泡的安全有效的术式。
목적：탐토흉강경쌍측일기수술치료자발성기흉적수술방법、병발증，평개해술식적가행성、안전성。방법：해조21례균위쌍측동시자발기흉혹일측반복자발기흉합병대측폐대포적병례，응용흉강경쌍측일기수술치료。결과：해조병례균경흉강경수술치료，술후출현루기(대우4d)2례，술후복발성폐수종수궤계통기1례，술후복발1례，무사망병례，균경수술치료전유。수방7～77개월(평균32.7개월)。여해조동기127례단측자발성기흉흉강경수술치료、술후병발증비교(P＞0.05)，무현저차이。결론：흉강경일기수술시치료쌍측자발성기흉혹일측기흉이령일측증실유폐대포적안전유효적술식。
Objective:Evaluating the operative methods,complication,feasibiltity and safety of one-stage treatment by thoracoscopy for bilateral pneumothorax or pneumothorax combined with contralateral bullae.Methods:21 patients diagnosed as simultaneous bilateral pneumothorax or ipsilateral recurrent pneumothorax with contralateral bullaes received one-stage treatment by bilateral thoracoscopy.Results:all patients received VATS,postoperative complications include prolonged air leak over 4 days(2 cases), reexpansion pulmonary edema (1 case),and one patient required temporarily mechanical ventilation.There were no postoperative death.All patients recovered smoothly.Follow-up time ranges from 7 to 77 months (mean 32.7 months).Compared with the 127 thoracopcopic procedures of unilateral pneumothorax,there's no statistics difference in complications (χ2=1.7247,P＞0.05). Conclusions:one-stage VATS is a safe and effective procedure for bilateral spontaneous pneumothorax or pneumothorax combined with contralateral bullae.