应用电视胸腔镜治疗血气胸

Effect of video-assisted thoracoscopic surgery in treatment of hemopneumothorax

目的 探讨应用电视胸腔镜（VATS）治疗血气胸的临床效果. 方法 回顾性分析83例行VATS治疗的血气胸患者的临床资料. 结果 采用VATS治疗83例血气胸患者均顺利完成手术,22例行肺大疱切除术,42例行肺裂伤修补术,12例行胸膜固定术,5例行医用生物蛋白胶注射,2例因肺损伤严重行中转开胸手术治疗.随访1年,无复发病例. 结论 经VATS可以进行肺大疱切除及肺裂伤修补,能有效止血,且创伤小、疗效好、恢复快.

Objective To investigate the therapeutic efficacy of Video-assisted thoracoscopic surgery （VATS）in treating hemopneumothorax. Methods 83 cases of hemopneumothorax treated with exploratory thoracotomy with the help of VATS were retrospectively analyzed. Results All the 83 cases were completed successfully by the VATS.22 cases were treated with bunamiody resection,42 eases were treated with lung repair operation,12 cases were treated with pleuropexy,5 cases were treated with albumingel injection,2 cases were treated with thoracotomy because of serious injury.All patients were followed up 1 year and were found in good condition. Conclusion VATS could treat bunamiody resection and lung repair operation,can stop the bleeding effectively, cause less injury,good therapeutic effect and quickly recovery.