摘要
目的探讨单操作孔胸腔镜手术治疗自发性气胸的临床疗效。方法回顾性分析采用单操作孔胸腔镜手术治疗29例自发性气胸患者的临床资料,总结分析自发性气胸患者围术期的相关指标,并评估预后。结果 29例自发性气胸患者顺利完成肺大疱切除术,术中均未出现中转开胸或者增加操作孔。手术时间为30～105分钟,平均52.5分钟;术后胸腔闭式引流管总引流量为120～300ml,平均202.8ml;术后3～7天拔管,平均4.5天;术后住院4～9天,平均6天。29例患者均未出现严重并发症,术后患者疼痛耐受性好,均治愈出院。出院后随访5～40个月,无复发病例。结论单操作孔胸腔镜手术治疗自发性气胸,患者疼痛耐受性好,疗效良好,可减少手术创伤,更符合微创的理念,值得进一步推广。
Objective To investigate the effect of single-operating-hole video-assisted thoracoscopic surgery（ VATS）in the treatment of spontaneous pneumothorax. Method We reviewed the clinical data of 29 patients with spontaneous pneumothorax received single-operating-hole VATS from January 2015 to December 2017, and analyzed the perioperative indicators. Result The operations were performed successfully in all of the 29 patients. No intraoperative transposition of thoracotomy or operation hole was added. Operative duration was 30～105 min, averaging 52. 5 min;chest drainage was 120 ～ 300 ml,averaging 202. 8 ml; postoperative tube extraction was 3 ～ 7 d,averaging 4. 5 d;hospital stay was 4 ～9 d,averaging 6 d. All patients recovered smoothly without severe complications. No recurrences was noted during follow-up period of 5 ～40 months. Conclusion The single-operating-hole VATS in the treatment of spontaneous pneumothorax can reduce surgical trauma with good pain tolerance and has good efficacy,more close to the concept of minimally invasive,it deserves to be used in clinical practice widely.
作者
王志远
窦学军
WANG Zhi-yuan;DOU Xue-jun(Thoracic surgery,Aerospace Centeral Hospital,Beijing 100049,China)
出处
《中国临床医生杂志》
2018年第10期1159-1160,共2页
Chinese Journal For Clinicians
关键词
单操作孔
胸腔镜
自发性气胸
Single-operating-hole
Video-assisted thoracoscopic surgery
Spontaneous pneumothorax
