摘要
目的 探讨电视胸腔镜手术 (VATS)对小儿胸部疾病诊断和治疗的价值。方法 2 5例平均年龄 6.7岁 ,平均体重 2 0 .1kg的胸部疾病患儿施行VATS ,其中脓胸清除 9例、纵隔肿瘤摘除 7例 ,肺大泡、肺囊肿切除 3例 ,肺叶切除、血胸清除与先天性膈疝处理各 2例 ,占同期VATS总数 (2 60例 )的 9.6 %。结果 全组平均手术时间 74min ,平均留置胸管 2 .4d ,术后平均住院 7.2d ,1例膈疝术后第 10d因左肺发育不良死于呼吸衰竭。 1例脓胸术后拔胸管时并发气胸 ,经处理好转。结论 小儿VATS安全可行 ,发展前景良好。
Objective To evaluate video assisted diagnostic and therapeutic thoracoscopic surgery (VATS) in children. Methods Between May 1997 and Nov. 1999, 25 children (14 boys and 11 girls) with thoracic lesions underwent VATS under general anesthesia. This accounted for 9.6% of all VATS. The median age was 6.7 years (range 9 days to 14 years) and the median body weight was 20.1 ?kg ( 2.8 ～45?kg). The therapeutic procedures included debridement and decortication in fibrinopurulent empyema in 9 children, resection of mediastinal tumors in 7, bullectomy and cystectomy of lungs in 4, lobectomy in lung cysts in 2, clearance of hemothorax and pleurodesis in 1 and diaphragmatic repair in 2. Results There was no operative death. The mean operating time was 74 minutes (range: 30 to 130 minutes). The mean duration of chest drainage was 2.4 days and the mean postoperative hospital ization was 7.2 days (range 4 to 15 days). One infant with congenital diaphragmatic hernia died of respiratory failure secondary to left pulmonary hypoplasia post operatively despite of mechanical ventilation. A fourteen year old girl with malignant hemothorax received chemotherapy. The other children recovered well. Conclusions Video assisted thoracoscopy is a safe and effective technique in children.
出处
《中华小儿外科杂志》
CSCD
2000年第5期290-292,共3页
Chinese Journal of Pediatric Surgery
