胸腔镜下手术治疗创伤性膈肌破裂的疗效分析

The efficacy of thoracoscopic surgery for traumatic diaphragmatic rupture

目的 分析胸腔镜下手术治疗创伤性膈肌破裂的疗效.方法 对40例创伤性膈肌破裂患者行胸腔镜下手术治疗,所采用的手术方式有：经胸修补术、经腹修补术和胸腔联合切口.结果 40例创伤性膈肌破裂患者均手术成功并痊愈出院.术中出血量少,手术时间短,术后无严重的并发症发生.结论 胸腔镜下手术治疗创伤性膈肌破裂具有创伤小、患者痛苦轻、恢复快等优点,且早期诊断、选择合适的手术入路和术中仔细的探查是降低病死率的关键.

Objective To analyze the efficacy of thoracoscopic surgery for traumatic diaphragmatic rupture. Methods Thoracoscopic surgery was performed on 40 patients with traumatic diaphragmatic rupture, the procedures including transthoracic repair, transahdominal repair, abdominal and chest incision repair. Results All the patients successfully received the procedures and were discharged from hosptial with cure. Intraoperative blood loss was less, surgical duration was shorter, no serious postoperative complications occurred. Conclusions Thoracoscopic surgery for traumatic diaphragmatic rupture is minimally invasive and patients have less pain with rapid recovery. Early diagnosis, appropriate surgical procedures, and careful intraoperative exploration is the key to reducing the mortality.