CAJ | 학술논문

目的：探讨电视胸腔镜治疗不同年龄段自发性气胸所致常见并发症的临床特点。方法回顾分析经电视胸腔镜治疗的31例老年自发性气胸及53例青壮年自发性气胸的临床资料；统计术后常见并发症的发生率。结果老年组有15例出现并发症（48.4%），其中持续性肺漏气7例（22.6%）、气胸复发4例（12.9%）、转行开胸手术1例（3.2%）、术后出血及胸腔积液1例（3.2%）、术后肺部感染或肺不张2例（6.5%）。青状年组有6例出现并发症（11.3%），其中持续性肺漏气3例（5.7%）、复张性肺水肿1例（1.9%）、气胸复发2例（3.8%）。结论虽然老年自发性气胸患者的术后并发症发生率较高，但是，只要围术期处理恰当，可以减少并发症发生率，胸腔镜手术对不同年龄段的自发性气胸患者都是安全、有效的。
목적：탐토전시흉강경치료불동년령단자발성기흉소치상견병발증적림상특점。방법회고분석경전시흉강경치료적31례노년자발성기흉급53례청장년자발성기흉적림상자료；통계술후상견병발증적발생솔。결과노년조유15례출현병발증（48.4%），기중지속성폐루기7례（22.6%）、기흉복발4례（12.9%）、전행개흉수술1례（3.2%）、술후출혈급흉강적액1례（3.2%）、술후폐부감염혹폐불장2례（6.5%）。청상년조유6례출현병발증（11.3%），기중지속성폐루기3례（5.7%）、복장성폐수종1례（1.9%）、기흉복발2례（3.8%）。결론수연노년자발성기흉환자적술후병발증발생솔교고，단시，지요위술기처리흡당，가이감소병발증발생솔，흉강경수술대불동년령단적자발성기흉환자도시안전、유효적。
Objective To investigate the complications of spontaneous pneumothorax( SP)after video-assisted thoracic sur-gery. Methods A restropective review was conducted of 84 case of SP patients,there were 31 cases in elderly group and 53 ca-ses in younger group. The patients were treated by video-assisted thoracic surgery( VATS),and the complications were ana-lyzed. Results The incidence of complications in the elderly group(48. 4%)was significantly higher than that in the younger group(11. 3%)(P<0. 05). Conclusion Although the incidence of complication is higher in the elderly group,the complica-tions can be reduced by proper management during perioperative period ,VATS is safe and effective for younger and elderly SP patients.