摘要
目的探讨电视胸腔镜缝合结扎治疗肺大疱及破裂的疗效。方法原发性肺大疱１６例，继发性肺大疱６例，病变首次发作６例，经胸腔闭式引流１～２周，复发２次者１１例，３次者３例。我们在胸腔镜下用３－０号带针涤纶线缝合肺大疱基底部，用食指伸入胸腔或普通持针器打外科结加普通７－０号丝线结扎。对继发性肺大疱加胸膜固定术。结果全组病人均在胸腔镜下完成手术，胸腔引流留置时间２～７天，平均３天，随访至今未见复发。结论胸腔镜下缝合结扎法治疗肺大疱及破裂是一种疗效可靠、经济、实用的方法。
Objective To investigate the efficacy of video assisted thoracoscopic suture and ligation in the management of parenchymal blebs and bullae.Methods Dacron thread suture and silk thread ligation of parenchymal blebs and bullae was used as an alternative method in 16 cases of primary and 6 secondary parenchymal blebs and bullae with pneumothorax.The efficacy of ligated parenchymal blebs and bullae by video assisted thoracoscopic suture and ligation was assessed.Results Twenty two cases were followed up for 1 to 4 months after the operation and there has been no recurrence to date.Conclusion Thoracoscopic suture and ligation is safe and effective in the management of parenchymal blebs and bullae with lower cost,fewer complications and lower recurrence rate.
出处
《温州医学院学报》
CAS
1998年第4期299-300,共2页
Journal of Wenzhou Medical College
关键词
胸腔镜
肺大疱
破裂
缝合结扎
Thoracoscopy Parenchymal blebs and bullae pneumothorax Suture Ligation
