电视胸腔镜手术对合并慢性阻塞性肺病的老年自发性气胸的疗效观察

The Treatment of Aged Spontaneous Pneumothorax Combined with Chronic Obstructive Pulmonary Disease with Video Assisted Thoracoscope Surgery

目的探讨电视胸腔镜手术(VATS)及与常规开胸手术(TH)治疗合并慢性阻塞性肺病的老年自发性气胸的疗效。方法 50例老年自发性气胸患者分别采用VATS手术和常规开胸手术治疗,比较其治疗效果及肺功能变化。结果本组无死亡病例,均治愈出院。VATS组胸引管留置时间、术中出血量、出院时间优于较常规开胸组(P<0.05),VATS组患者术后2周肺功能恢复较常规开胸组快(P<0.05)。结论 VATS治疗合并慢性阻塞性肺病的老年自发性气胸手术风险低、创伤小、恢复快、疗效满意。

Objective To investigate the treatment efficiency of aged spontaneous pneumothorax combined with chronic obstructive pulmonary disease（COPD） with video assisted thoracoscope surgery.Methods 50 patients with aged spontaneous pneumothorax were randomly assigned to receive VATS（VAST group） and open thoracotomy（TH group） respectively.The treatment efficiency and pulmonary function were comparedamong the two groups.Results All cases recovered with no mortality.Thoracic drainage duration,hospitalization,perioperative blood loss of VATS group was shorter than that of TH group.The pulmonary function after 2 weeks of VAST group was better than that of TH group.Conclusion VATS treatment of spontaneous pneumothrax combined with COPD the elderly is a low-risk surgery,with a comparatively small trauma,quick recovery and satisfactory results.