摘要
目的探讨胸腔镜手术在支气管扩张症中的应用价值。方法2002年7月～2010年3月，对20例支气管扩张症行胸腔镜手术治疗。12例施行胸腔镜辅助小切口肺叶切除术，8例施行胸腔镜肺楔形切除术。结果1例因出血中转开胸。全组无围手术期死亡，围手术期并发症3例：术后肺持续漏气2例，肺部感染1例。平均胸管置管时间3．6d（2～7d），术后住院平均9d（7～14d）。20例随访3～36个月，均恢复良好。结论胸腔镜手术治疗支气管扩张症在技术上是安全可行的，对于具有手术指征需行肺楔形切除或肺叶切除的支气管扩张症患者，胸腔镜手术是一种值得推荐的手术方式。
Objective To explore the value of video-assisted thoracoscopie surgery in the management of bronchieetasis. Methods Between July 2002 and March 2010, 20 cases with bronchiectasis were treated with video-assisted thoraeoscopic surgery in our hospi- tal, Video-assisted thoracoscopic lobectomy was performed on 12 eases, and video-assisted thoracoscopic pulmonary wedge resection were performed on 8 cases. Results The operation was completed in almost all of the cases except one patient who was converted to open sur- gery because of massive hemorrhage. In this series, complications occurred in 3 cases,including 2 cases of persistent air leak and 1 case of pneumonia and no peri-operational death occurred. The mean duration of chest tube drainage was 3.6 days （2 to 7 days） and average hospital stay after operation was 9 days （7 to 14 days）. All cases were followed-up for 3 -36months and no long-term complications were found. Conclusions video-assisted thoracoseopic surgery is safe and effective in the management of bronchieetasis.
出处
《临床肺科杂志》
2011年第5期689-690,共2页
Journal of Clinical Pulmonary Medicine
关键词
胸腔镜手术
支气管扩张症
video-assisted thoraeoseopic surgery
bronchiectasis
