电视胸腔镜在急性胸部创伤中的应用

The Role of Video assisted Thoracoscopy in Thoracic Trauma

目的：旨在明确电视胸腔镜在急性胸部创伤诊治中的作用．方法：１９９５年１月～１９９６年４月，共开展了３１例急性胸部创伤电视胸腔镜手术，其中包括胸内持续出血止血１１例，凝固性血胸、血块清除１２例，浮动胸壁人工胸壁钢丝悬吊外固定术８例．结果：胸内持续出血及凝固性血胸组应用胸腔镜均成功止血或清除血凝块，避免正规开胸手术；浮动胸壁组应用胸腔镜处理均达到恢复快、外形及功能较好的效果，无并发症发生．结论：电视胸腔镜手术治疗部分急性胸部创伤是一种安全、有效、微创的方法．

Aim: To determine the role of video assisted thoracoscopy in treatment of thoracic trauma. Methods: Video assisted thoracoscopic surgery (VATS) was performed in 31 patients with thoracic trauma from January 1995 to April 1996, and hemostasis was performed in 11 patients of continued hemorrhage. Clotted hemothorax was removed in 12 patients. Suspension and immobilization to artificial chest with wire was performed in 8 patients for flail chest. Results: The patients underwent thoracoscopy successfully for continued hemorrhage and clotted hemothorax without thoracotomy. The treatment of flail chest in this series by thoracoscopy resulted in speedy recovery, better cosmetic and functional results. No complications occurred. Conclusion: Video assisted thoracoscopy is a safe, effective, minimally invasive method in the treatment of thoracic trauma.