电视胸腔镜治疗气胸血气胸30例

The clinical application of video-assisted thoracoscopic surgery to spontaneous pneumothorax and hemopneumothorax

目的 探讨电视腔镜在气胸、血气胸治疗中的应用价值。 方法 回顾分析采用电视胸腔镜治疗气胸、血气胸 30例临床资料。 结果 30例电视胸腔镜手术均获成功。仅有 1例术中并发复张性肺水肿 ,抢救转危为安 ,无手术死亡。平均手术时间 89分钟 ,平均住院时间为 5 8天 ,全部痊愈出院。 结论 采用电视腔镜手术治疗气胸、血气胸安全、有效、微创。术中采用钛夹间断夹闭法操作方便、经济 ;

Ojective To study the clinical application of video-assisted thoracoscopic surgery(VATS) to spontaneous pneumothorax and hemopneumothorax. Methods 30 cases of spontaneous pneumothorax and hemopneumothorax were reviewed. Results Thoracoscopic surgery were successfully performed in all patients and only one patient complicated with reexpansion pulmonary edema, but recovered after emergency management. There was no operative death. On the average, the operative time was 89 min and the hospitalized days were 5.8 days. All patients improved postoperatively. Conclusions VATS is a safe, effective and mini-invasive way to treat spontaneous pneumothorax and hemopneumothorax. the use of titanium clips is very convenient and helpful. The development of reexpansion pulmonary edema should be prevented.