胸腔镜在胸部损伤控制中的诊断意义

Diagnostic significance of thoracoscopy in thoracic damage control

目的探讨胸腔镜在胸部损伤控制中的诊断意义，强调胸腔镜作为一种诊察工具的作用。方法2006年1月至2011年11月57例胸部损伤患者，均经胸腔镜手术，其中自发性血、气胸27例，多发肋骨骨折12例，肺部刀刺伤15例，刀刺伤后心包损伤3例。结果57例患者均手术成功，随访3个月～5年，恢复良好。结论在胸部损伤控制中，胸腔镜是良好的诊断和治疗措施，其损伤小，恢复快，尤其对创口小，损伤大的隐匿性损伤的诊断、控制、术后恢复有确切意义。在充分麻醉保障并排除非医疗因素外，胸腔镜在损伤控制中诊断作用有尽早、尽快及普及的意义。

Objective To discuss the diagnostic significance of VATS in thoracic damage con- trol, emphasizing VATS is in the role of a diagnostic tool. Methods Fifty-seven cases of thoracic injury from January 2006 to November 2011were all after VATS operation, in which 27 cases were spontaneous hemothorax or pneumothorax, multiple rib fracture in 12 cases, lung injury by knife in 15 cases, after stabbing cardiac injury in 3 cases. Results The operation for 57 patients were all successful, they were followed up for 3 months to 5 years and recovered well. Conclusions In thoracic damage control, VATS is a good diagnostic and therapeutic measures, the little injury, quick recovery, especially have a precise meaning for the small wound, injury in occult injury diagnosis, control and postoperative recovery. In the full anesthesia security and the exclusion of non medical factors, thoracoscopy has as soon as possible and universal significance in diagnosis of damage control.