摘要
目的探讨内科胸腔镜治疗难治性气胸的疗效及安全性。方法收集2012-2018年入住广西医科大学第二附属医院呼吸内科的14例难治性气胸患者,采用内科胸腔镜下高频电刀烧灼、氩气刀处理肺大疱、活检钳钳夹等多种方法联合治疗,对其临床资料进行回顾性分析。结果在14例难治性气胸患者中,Ⅱ型肺大疱5例,Ⅲ型肺大疱4例,弥漫性肺大疱6例,共计发现肺大疱数约42个。经内科胸腔镜介入治疗后,出院时复查X线胸片均无漏气,近期有效率为100%。术后随访1年未见气胸复发,远期有效率为100%。结论使用内科胸腔镜治疗难治性气胸具有创伤小、疼痛轻及术后恢复快等特点,值得临床推广。
Objective To explore the efficacy and safety of medical thoracoscopy in the treatment of refractory pneumothorax.Methods The data of 14 patients with refractory pneumothorax treated in the Department of Respiratory Medicine,the Second Affiliated Hospital of Guangxi Medical University from 2012 to 2018 were retrospectively analyze.The treatment included high-frequency electric knives,argon plasma coagulation,and biopsy forceps under medical thoracoscopy.Results Among the 14 patients with refractory pneumothorax,there were five cases of type Ⅱ pulmonary bullae,four cases of type Ⅲ pulmonary bullae,and six cases of diffuse pulmonary bullae.A total of 42 pulmonary bullae were found.After medical thoracoscopy therapy,there was no air leakage on chest X-ray.The effective rate was 100%in short term and long term.Conclusions The medical thoracoscopy in the treatment of refractory pneumothorax has the advantages of less trauma,less pain and faster recovery after operation,which is worthy of clinical promotion.
作者
周寅宁
柳广南
李文涛
周鸿江
黎雨
Zhou Yinning;Liu Guangnan;Li Wentao;Zhou Hongjiang;Li Yu(Dapartment of Respiratory Medicine,the Second Affiliated Hospital of Guangxi Medical University,Nanning 530021,China)
出处
《国际呼吸杂志》
2019年第24期1876-1880,共5页
International Journal of Respiration
关键词
内科胸腔镜
难治性气胸
肺大疱
Medical thoracoscopy
Refractory pneumothorax
Pulmonary bullae
