电视胸腔镜治疗自发性气胸78例分析

Analysis of video-assisted thoracoscope in the treatment of 78 patients with spontaneous pneumothorax

目的探讨自发性气胸通过电视胸腔镜治疗的临床特点和疗效。方法分析我院经电视胸腔镜治疗的78例气胸患者的临床资料和观察临床疗效。结果 78例行电视胸腔镜肺大泡切除术均成功,所有患者顺利出院,随访10～24月无复发病例。结论掌握自发性气胸临床特点,根据术中探查具体情况处理病变肺组织,电视胸腔镜手术能明显降低术后持续性漏气,甚至复发。

Objective To explore the clinical features and curative effect of video-assisted thoracoscope in the treatment of pa- tients with spontaneous pneumothorax. Methods The clinical data of 78 patients with spontaneous pneumothorax, who were given video- assisted thoracoscope treatment, were retrospectively analyzed and their clinical effect was observed. Results All of the patients were cured, 1 case of which happened postoperative leakage and was cured by chest injection of adhesion agent. Conclusion The postoperative leakage, even recurrence, can be reduced significantly by mastering the clinical characteristics of spontaneous pneumothorax and the process of probe lesions of lung tissues intraoperative according to the specific circumstance of pathological changes.