电视胸腔镜手术治疗自发性气胸48例

Video-assisted thoracoscopic surgery( VATS) for the treatment of 48 patients with spontaneous pneumothorax

目的：总结电视胸腔镜手术（ Video-assisted thoracoscopic surgery，VATs）治疗自发性气胸的临床经验。方法：分析48例经VATs治疗的自发性气胸患者的临床资料和临床疗效。结果：48例行VATs治疗的自发性气胸均获成功，所有患者均顺利出院。手术时间30~70min，平均45 min；术中出血量20~100 ml，平均50 ml；术后胸腔引流管留置时间1~7 d，平均2.8 d；随访6~40个月，无气胸复发。结论：VATs是彻底治疗自发性气胸的最佳方法，其疗效确切，具有创伤小，恢复快等优点。

Objective To summary the clinical significance of video-assisted thoracoscopic surgery（ VATs）for the treatment of spon-taneous pneumothorax. Method The clinical data of 48 patients with spontaneous pneumothorax who were given VATs treatment,which were analyzed retrospectively and their clinical effect was observed. Results All of the patients were cured. There was no operative death in the group. The operation time was 30~70 min（ mean,45 min）,the amount of bleeding was 20~100 ml（ mean,50 ml）and the chest drain-age tube was detained for 1~7 days（ mean,2. 8 days）. No recurrence cure was found in the 6 to 40 months follow-up. Conclusion VATs is the best way to cured the spontaneous pneumothorax,it is effective,minimally invasive and rapid recovery.