电视胸腔镜辅助腋下小切口治疗自发性气胸

Treatment of Spontaneous Pneumothorax by Video-assisted Subaxillary Minithoracotomy

目的:探讨电视胸腔镜辅助腋下小切口治疗自发性气胸的临床效果。方法:回顾性分析我院2006-07～2009-0758例自发性气胸患者接受电视胸腔镜辅助腋下小切口治疗的临床资料,并与既往40例自发性气胸患者行常规开胸手术进行比较。结果:观察组所有病例术中均不使用昂贵的一次性材料,均顺利完成手术,无死亡及严重并发症,术后随访5～41个月,无术侧复发。与对照组比较:手术时间、切口疼痛时间、术后住院时间均明显缩短(P<0.05),术中失血量及术后总并发症均明显减少(P<0.05)。结论:电视胸腔镜辅助腋下小切口治疗自发性气胸疗效确切、微创、安全、经济,具有临床应用价值。

Objective：To evaluate video-assisted Subaxillary Minithoracotomy（VAMT） to treat spontaneous pneu-mothorax. Methods：From July 2006 to July 2009,58 cases with spontaneous pneumothorax treated by VAMT were analyzed retrospectively,and compared with that treated with anterolateral thoracotomy as a control group. Results：In the VAMT group,none case used expensive disposable consumables during surgery,all operations were performed successfully and there was no hospital death or severe postoperative complications,the follow up postoperation time was five to forty one months and none patient was recurrence. Copmpared with the control group ,the average Length of operation,the duration of incisional pain and period of hospital stay after operation was shorter（P 0. 05）,the amount of blood loss in operation and postoperative complications was less（P 0. 05）. Conclusions：Treatment of spontaneous Pneumothorax by VAMT has the advantages of minimal invasion,safety ,economicsal and high efficacy,which is worthfurther clinical application.