胸腔镜治疗继发性自发性气胸

Value of Video Thoracic Surgery for Treatmeant of Secondary Spontaneous Pneummothorax

目的：探讨电视胸腔镜手术在治疗在继发性自发性气胸中的作用及何时中转开胸．方法：回顾分析1994年6月-2006年6月治疗的113例SSP，实验分A（电视胸腔镜手术）、B（常规开胸手术）两组，A组分为A1（纯电视胸腔镜手术）和A2（电视胸腔镜辅助小切口手术）两组，比较各组术后参数．结果：3组术后胸腔闭式流时间、住院时间相差无几（P〉0．05），术后的并发症率为A1 20．5％、A2 16．7％、B24％，近期漏气率分别为15．4％、12．5％、18％．结论：个性化的VATS治疗是SSP的首选．

Object： To assess the role of video---assisted surgery for me treatment of second spontaneous pneumothorax and what time conversion to thoracotomy. Methods： We reviewed 113 patients with the secondary spontaneous pneumothorax, the experiment was divided into two groups： A group（VATS）,B group（thoracotomy）,A groups was divided into A1（pure VATS）and A2（VATS assisted minimal incision）.Postoperative paramenters of these groups, such as duration of drainage, hospitalized days, incidence of complication were compared. Results： The duration of drainage and hospitalized days were no difference between A group and B group（P〉0.05）.The postoperative incidence of complication of these groups were A120.5%, A2 16.7%, B24% respectively. The short--term recurrence rates of the three groups were 15.4%, 12.5%,18% respectively. Conclusion： Personal VATS should be the first choice for the secondary spontaneous pneumothorax.