微创腋下小切口治疗自发性气胸32例

Experience of 32 Cases of Small Incision Operation in Axillar for Treatment of Spontaneous Pneumothorax

目的 :探讨微创腋下小切口治疗肺大疱致自发性气胸的可行性和优缺点。方法 :采用腋下小切口长 (7.0± 2 .5cm) ,手术治疗肺大疱致自发性气胸患者 32例 ,其中行肺粘连松解 2 0例 ,肺大疱切除缝扎 34例。结果 :34次手术平均耗时 4 0min ,失血量均小于 5 0ml,术后平均胸腔闭式引流量 15 0± 5 0ml,平均拔管时间 2 .5d ,无并发症发生 ,术后平均住院时间 9± 3d ,术后随访 4～ 18个月无复发。结论 :腋下小切口损伤小 ,恢复时间短 ,治疗肺大疱手术有实用性和普遍推广的意义。

Objective: Assess the feasibility and merit of small incision operation in axilla for treatment of spontaneous pneumothorax due to bunamiodyl. Methods: 32 spontaneous pneumothorax patients due to bunmiodyl were enrolled in our study. Among them, 20 patients had lysis of lung adhension, 34 had excision and transfixion of bunmiodyl. Results : It took about 40 minutes to finish the operation averagely, the amount of blood loss was less than 50ml, the fluid amount of thoracic close draninage was about 150±50ml, the average hospiatlization after operation was about 9±3d , no relapse was found after 4-18months follow-up. Conclusion: It is a less-invasion method to perform small incision operation in axilla for treatment the patients in this clinical setting, the recovery time is short. It is a practical and worth of being used widely.