摘要
1992年 11月～ 2 0 0 0年 7月运用电视胸腔镜技术进行胸部疾病诊断及治疗 5 0 0余例次 ,其中结核病变 2 3例。包括肺结核球 16例 ,双肺多发结核结节 1例 ,胸膜结核瘤 2例 ,结核性胸膜炎 1例 ,结核性心包炎、心包积液 1例 ,食管结核 2例。手术时间 35～ 2 30min ,平均 10 4.9min ,中转开胸 3例 ,1例术后因乳糜胸再次开胸结扎胸导管。术后平均胸腔引流时间为 2 .9d ,术后平均住院时间为 9.9d。无围手术期死亡。对于肺内及胸膜结节不能与其它病变相鉴别时 ,电视胸腔镜手术 (VATS)可切除病灶明确诊断并指导术后治疗。与开胸手术相比 ,VATS创伤小 ,手术时间短 ,操作简便 ,术后恢复快 ,住院时间短 ,疗效满意。因此认为VATS在胸部结核病变的诊断和治疗上均有较大的临床应用价值。
Between November 1992 and July 2000,We diagnosed and treated thoracic diseases by Video-assisted thoracoscopy in 500 cases,23 cases of tuberclous lesion among them,including 16 pulmonary tuberculoma,1 multiple nodes in bilateral sides of lung,1 tuberculous pleurisy,2 pleural tuberculoma,1 tuberculous pericardial effusion and 2 esophageal tuberculosis.The time of operation is from 35 minutes to 230 minutes,mean time is 104.9 minutes.3 turning to thoractomy.1 Reoperation to ligate thoracic duct with chylothorax,thoracic drainage with a mean of 2.9 days postoperaive and hospitalization of 9.9 days.There was no perioperative death.Video-assisted thoracoscope surgery (VATS) can excise lesion to diagnose and direct postoperative treatment when the nodes in lung and pleura are undifferentiated.Compared with the thoracotomy,VATS has following advantages:minimal trauma,shorted operative time and hospital stay,easy to operate,rapid recovery.We consider the diagnosis and treatmant in thoracic tuberculous disease with VATS have greater value of clinical application.
出处
《中国内镜杂志》
CSCD
2001年第2期10-11,共2页
China Journal of Endoscopy
关键词
电视胸腔镜手术
胸部
结核
诊断
治疗
Video-assisted Thoracoscope Surgery (VATS)
Thorax
Tuberculosis
