吉林医学
吉林醫學
길림의학
JILIN MEDICAL JOURANL
2014年
22期
4849-4850
,共2页
电视胸腔镜手术%自发性气胸%肺大疱
電視胸腔鏡手術%自髮性氣胸%肺大皰
전시흉강경수술%자발성기흉%폐대포
Video-assisted thoracoscopic surgery%spontaneous pneumothoraxn%pulmonary bulla
目的：总结电视胸腔镜手术（ Video-assisted thoracoscopic surgery，VATs）治疗自发性气胸的临床经验。方法：分析48例经VATs治疗的自发性气胸患者的临床资料和临床疗效。结果：48例行VATs治疗的自发性气胸均获成功，所有患者均顺利出院。手术时间30~70min，平均45 min；术中出血量20~100 ml，平均50 ml；术后胸腔引流管留置时间1~7 d，平均2.8 d；随访6~40个月，无气胸复发。结论：VATs是彻底治疗自发性气胸的最佳方法，其疗效确切，具有创伤小，恢复快等优点。
目的：總結電視胸腔鏡手術（ Video-assisted thoracoscopic surgery，VATs）治療自髮性氣胸的臨床經驗。方法：分析48例經VATs治療的自髮性氣胸患者的臨床資料和臨床療效。結果：48例行VATs治療的自髮性氣胸均穫成功，所有患者均順利齣院。手術時間30~70min，平均45 min；術中齣血量20~100 ml，平均50 ml；術後胸腔引流管留置時間1~7 d，平均2.8 d；隨訪6~40箇月，無氣胸複髮。結論：VATs是徹底治療自髮性氣胸的最佳方法，其療效確切，具有創傷小，恢複快等優點。
목적：총결전시흉강경수술（ Video-assisted thoracoscopic surgery，VATs）치료자발성기흉적림상경험。방법：분석48례경VATs치료적자발성기흉환자적림상자료화림상료효。결과：48례행VATs치료적자발성기흉균획성공，소유환자균순리출원。수술시간30~70min，평균45 min；술중출혈량20~100 ml，평균50 ml；술후흉강인류관류치시간1~7 d，평균2.8 d；수방6~40개월，무기흉복발。결론：VATs시철저치료자발성기흉적최가방법，기료효학절，구유창상소，회복쾌등우점。
Objective To summary the clinical significance of video-assisted thoracoscopic surgery( VATs)for the treatment of spon-taneous pneumothorax. Method The clinical data of 48 patients with spontaneous pneumothorax who were given VATs treatment,which were analyzed retrospectively and their clinical effect was observed. Results All of the patients were cured. There was no operative death in the group. The operation time was 30~70 min( mean,45 min),the amount of bleeding was 20~100 ml( mean,50 ml)and the chest drain-age tube was detained for 1~7 days( mean,2. 8 days). No recurrence cure was found in the 6 to 40 months follow-up. Conclusion VATs is the best way to cured the spontaneous pneumothorax,it is effective,minimally invasive and rapid recovery.
