摘要
采用电视胸腔镜手术（ＶＡＴＳ）治疗肺部疾病患者３０例。其中施行胸腔镜小切口手术（ＶＡＭＴ）１５例。手术疾病包括自发性气胸及肺部占位性病变等。手术效果满意，无术后并发症及死亡。ＶＡＳＴ组与常规开胸组５０例比较，手术时间〔分别为（１４５．００±６２．９４）、（２０４．８８±５７．０５）ｍｉｎ〕、失血量〔分别为（２５１．３３±１７９．１３）、（６３８．００±３２１．９１）ｍｌ〕及术后恢复、胸液量、胸管留置时间、术后住院天数等，均有显著性差异（均为Ｐ＜０．０１）。显示电视胸腔镜手术有创伤小、出血少、疼痛轻、手术时间短、疗效可靠、恢复快、并发症少、住院时间短及符合美容要求等优点。并且通过胸腔镜小切口应用，减少了一次性医疗器械使用，使胸腔镜技术更趋完善，更符合国情。
From April to October 1998,30 patients successfully underwent videoassisted thoracoscopic surgery (VATS). Among them 15 cases received videoassisted minithoracotomy (VAMT) simultaneously. The diseases were spontaneous pneumothorax and lung tumors. The results for VATS were compared with those for routine open thoracotomies in 50 patients. There were no operative mortality and postoperative complications in VATS group. The mean operating time was (145006294) min for VATS group and (204885705) min for open group. The mean operating blood loss was (2513317913) ml for VATS group and (6380032191) ml for open group. The mean duration of chest tube drainage was (258070) d for VATS group and (369139) d for open group. The mean postoperative hospital stay was (1133292) d for VATS group and (1638444) d for open group. The difference in the above parameters between two groups was significant (all P<001). It is suggested that VATS is a safe, effective and less traumatic procedure in the treatment of some lung diseases.
出处
《同济医科大学学报》
CSCD
1999年第3期250-252,共3页
Acta Universitatis Medicinae Tongji
关键词
电视胸腔镜
外科手术
肺疾病
videoassisted thoracoscopic surgery
surgery, operative
\ lung diseases
