基层医学论坛
基層醫學論罈
기층의학론단
PUBLIC MEDICAL FORUM MAGAZINE
2013年
10期
1236-1237
,共2页
复发性气胸%电视胸腔镜%胸腔镜辅助手术%腋下小切口
複髮性氣胸%電視胸腔鏡%胸腔鏡輔助手術%腋下小切口
복발성기흉%전시흉강경%흉강경보조수술%액하소절구
Recurrent pneumothorax%Video-assisted thoracic surgery%VATS assisted%Small axillary incision
目的探讨电视胸腔镜辅助腋下小切口手术治疗复发性气胸的临床效果.方法固顾性分析我院2007年1月--2012年1月收治的62例复发性气胸患者行电视胸腔镜辅助腋下小切口手术治疗的情况.结果62例患者手术过程均顺利,术中无大出血,无中转开胸,手术时间为1 h~1.5 h,术后胸腔闭式引流管留置时间3 d~5 d,术后住院时间为5 d~10 d.本组62例患者均痊愈出院,术后随访6个月~24个月,均无复发.结论电视胸腔镜辅助腋下小切口手术治疗复发性气胸具有手术时间短、出血量少、并发症少、术后恢复快及住院时间短的优势,值得推广.
目的探討電視胸腔鏡輔助腋下小切口手術治療複髮性氣胸的臨床效果.方法固顧性分析我院2007年1月--2012年1月收治的62例複髮性氣胸患者行電視胸腔鏡輔助腋下小切口手術治療的情況.結果62例患者手術過程均順利,術中無大齣血,無中轉開胸,手術時間為1 h~1.5 h,術後胸腔閉式引流管留置時間3 d~5 d,術後住院時間為5 d~10 d.本組62例患者均痊愈齣院,術後隨訪6箇月~24箇月,均無複髮.結論電視胸腔鏡輔助腋下小切口手術治療複髮性氣胸具有手術時間短、齣血量少、併髮癥少、術後恢複快及住院時間短的優勢,值得推廣.
목적탐토전시흉강경보조액하소절구수술치료복발성기흉적림상효과.방법고고성분석아원2007년1월--2012년1월수치적62례복발성기흉환자행전시흉강경보조액하소절구수술치료적정황.결과62례환자수술과정균순리,술중무대출혈,무중전개흉,수술시간위1 h~1.5 h,술후흉강폐식인류관류치시간3 d~5 d,술후주원시간위5 d~10 d.본조62례환자균전유출원,술후수방6개월~24개월,균무복발.결론전시흉강경보조액하소절구수술치료복발성기흉구유수술시간단、출혈량소、병발증소、술후회복쾌급주원시간단적우세,치득추엄.
Objective To investigate the VATS clinical effects of axillary incision surgery in the treatment of recurrent pneumothorax. Methods Retrospective analysis of our hospital from January 2007 to January 2012 thoracoscopic auxiliary underarm small incision in the treatment of 62 cases of recurrent pneumothorax. Results 62 patients during surgery goes well, no massive hemorrhage, without conversion to thoracotomy surgery 1 to 1.5 hours, postoperative thoracic drainage tube indwelling time of 3 to 5 days, postoperative hospital stay for 5 to 10 days . The group of 62 patients were cured, were followed up for 6 to 24 months, there was no recurrence. Conclusion VATS the axillary incision surgical treatment of recurrent pneumothorax has shorter operative time, less blood loss, fewer complications, rapid postoperative recovery and shorter hospital stay advantages.