手术治疗自发性气胸318例

Surgery for the treatment of spontaneous pneumothorax: a 318-case report

目的:分析手术治疗自发性气胸的临床效果。方法:总结手术治疗的自发性气胸318例,对气胸病因、手术疗效、结果随访及不同手术方法的比较等临床资料进行回顾性分析。结果:318例患者无手术及术后死亡,均顺利恢复出院,并发症发生率及复发率低。其中胸腔镜手术患者在手术时间、术后恢复方面优于其他术式。胸膜下肺大疱为本组手术病例的主要病因。结论:手术治疗自发性气胸安全有效。胸腔镜手术创伤小、手术时间短、术后恢复快,为自发性气胸外科治疗的首选方法。

Objective： To explore the cause and operative results of surgical treatment for spontaneous pneumothorax. Method： The clinical data of 318 cases of spontaneous pneumothorax that underwent surgical treatment were analyzed. The results of different surgical methods were compared. Result： All patients recovered and the rate of complication and recurrence was low. The cases underwent video-assisted thoracoscopic surgery （VATS） had the shortest post-operative drainage time and hospital stay compared with those underwent classic thoracotomy and subaxiUary mini thoracotomy. BuUae were the principal cause of spontaneous pneumothorax in the group. Conclusion： Operative method is safe and effective in the treatment of spontaneous pneumothorax. VATS is minimally invasive and is the first preference upon other methods.