CAJ | 학술논문

目的探讨运用胸腔镜(VATS)技术治疗肺大疱的疗效.方法选取某院胸外科的120例肺大疱患者接受VATS手术治疗,并与同期采取传统小切口手术治疗的56例肺大疱患者对比,分析两组患者术后疗效.结果 120例接受VATS患者手术均获得成功,治愈出院,平均住院时间为14.5 d,其中术后留置胸腔引流时间平均4.7d,再次形成气胸、并发肺水肿及呼吸衰竭者14例.结论肺大疱患者的首选治疗方法为VATS,与传统肺大疱切除手术相比胸腔镜手术有创伤小、患者住院时间缩短、手术痛苦小、术后恢复快等优点.
목적 탐토운용흉강경(VATS)기술치료폐대포적료효.방법 선취모원흉외과적120례폐대포환자접수VATS수술치료,병여동기채취전통소절구수술치료적56례폐대포환자대비,분석량조환자술후료효.결과 120례접수VATS환자수술균획득성공,치유출원,평균주원시간위14.5 d,기중술후류치흉강인류시간평균4.7d,재차형성기흉、병발폐수종급호흡쇠갈자14례.결론 폐대포환자적수선치료방법위VATS,여전통폐대포절제수술상비흉강경수술유창상소、환자주원시간축단、수술통고소、술후회복쾌등우점.
Objective To discuss the clinical efficacy of video-assisted thoracoscopic surgery(VATS)for bilateral bullous lung disease operation.Methods VATS procedures were performed on 120 patients with bilateral ballous lung disease.56 patients were operated in one-stage with traditional incision surgery.Results 120 patients were cured.The mean duration of chest drainage after surgery was 4.7 days.Postoperative complications occurred in 14 cases,including pulmonary edema,pneumothorax again respiratory failure and so on.The mean postoperative hospital stay was 14.5 days.The patients were followed up 1 to 60 months.Conclusion VATS is an effective and preferred method for bilateral bullous lung disease.compared with conventional open techniques for bilateral bullous lung disease,the advantages of VATS include shorter hospital stays,less postoperative pain and earlier return to work.