24例原发性自发性气胸外科治疗体会

Experience of surgical treatment for 24 cases of primary spontaneous pneumothorax

目的探讨原发性自发性气胸的发病特点及外科治疗方法和疗效。方法收集苏州市吴中人民医院心胸外科2013年1月至2016年5月收治的24例患者,CT检查确定为原发性自发性气胸,其中22例在胸腔镜下行肺大泡切除术及胸膜摩擦粘连术,2例经胸腔闭式引流术后2～3天停止漏气,未行手术治疗。结果本组无手术死亡,痊愈出院。门诊随访1月至1年,1例未经手术治疗的患者,三个月后同侧气胸复发,其余患者早期疗效良好。结论电视胸腔镜下行肺大泡切除及胸膜摩擦粘连术是治疗和预防原发性自发性气胸复发的有效方法。

Objective To explore the clinical characteristic and surgical treatment of primary spontaneous pneumothorax. Methods 24 cases collected from the department of cardiothoracic surgery of Wuzhong People ＇ s Hospital between July 2013 and May 2016 were identified as primary spontaneous pneumothorax by CT,pulmonary bulla resection and pleural adhesion were performed in 22 cases by VATS,2cases without surgery by thoracic cavity closed drainage after 2 ～ 3 days stopped leakage. Results All patients were cured,one case without surgical treatment recurred after three months,the rest of the patients was good.Conclusions For patients with spontaneous pneumothorax,pulmonary bulla resection,pleural adhesion is an effective method that can prevent the primary spontaneous pneumothorax from recurrence.