CAJ | 학술논문

目的：探讨电视胸腔镜（ VATS）下肺大疱切除手术的围手术期处理及远期疗效。方法对我院2013年1月－2013年12月共40例肺大疱（其中包括合并或不合并自发性气胸）患者进行VATS手术。结果未出现明显的重大并发症，术中出血较少，术后复查胸片肺完全复张后拔管时间短，术后需镇痛的仅8例。术后虽有发热，但均未超过38．5℃，同侧气胸复发1例。结论肺大疱切除采取胸腔镜下手术较传统开胸肺大疱切除手术有许多优点，具有术中出血少、术后拔管时间短，无重大并发症、对患者创伤少、住院时间短等优点，是目前治疗肺大疱的首选方式。
목적：탐토전시흉강경（ VATS）하폐대포절제수술적위수술기처리급원기료효。방법대아원2013년1월－2013년12월공40례폐대포（기중포괄합병혹불합병자발성기흉）환자진행VATS수술。결과미출현명현적중대병발증，술중출혈교소，술후복사흉편폐완전복장후발관시간단，술후수진통적부8례。술후수유발열，단균미초과38．5℃，동측기흉복발1례。결론폐대포절제채취흉강경하수술교전통개흉폐대포절제수술유허다우점，구유술중출혈소、술후발관시간단，무중대병발증、대환자창상소、주원시간단등우점，시목전치료폐대포적수선방식。
Objective To investigate the peri-operation treatment and curative effect of video-assisted thoracoscopic sur-gery( VATS) for pulmonary bullectomy .Methods 40 cases of pulmonary bulla in our hospital from January 2013 to December 2013 ( including those with or without spontaneous pneumothorax ) underwent VATS .Results No serious complications oc-curred.There was less intra-operative bleeding .Extubation could be conducted sooner after the complete pulmonary re -expan-sion(confirmed by the post-operative chest film).Only 8 cases needed postoperative analgesia .Postoperative fever was ob-served,but not higher than 38.5 ℃.1 case of ipsilateral pneumothorax recurred .Conclusion Thoracoscopic pulmonary bul-lectomy has many advantages over the traditional open chest pulmonary bulla resection such as less bleeding ,sooner postopera-tive extubation ,no major complications ,less trauma ,and shorter hospitalization .It is the first choice for treatment of pulmonary bulla at present and should be widely promoted .