自发性气胸的胸腔镜治疗体会

EXPERIENCE OF TREATMENT WITH VATS IN PATIENTS WITH SPONTANEOUS PNEUMATOTHORAX

目的 :探讨胸腔镜治疗自发性气胸的效果。方法 :自 1997年 7月至 2 0 0 3年 6月经电视胸腔镜 (VATS)治疗自发性气胸 82例。男性 5 1例 ,女性 31例 ,平均年龄 35 .2岁。无双侧病变病例 ,首次发作 5 2例 ,2次～ 3次发作 30例。原发性气胸 6例 ,继发性气胸 2 1例。经VATS 2～ 3孔切口完成手术 5 8例。辅助小切口完成手术 2 4例。结果 :手术顺利 ,术后平均住院时间 8.6天 ,胸管留置时间平均 2 .1天。本组无手术切口感染及再次开胸手术 ,至今无复发病例。结论 :胸腔镜治疗自发性气胸具有很好的治疗效果 。

Objective:To investigate clinical effect of treatment of spontaneous pneumatothorax with VATS. Method: 82 cases with spontaneous pneumatothorax, male 51, female 31, mean aged 35.2 year, were treated with VATS From July 1997 to June 2003 and the clinical data was reviewed. Result:The operation of the patients was successful. The average time in the hospital was 8.6 days and intrathoracic drain retention after operation was 2.1 days. No infection and recur in all patients. Conclusion: The VATS is very effective and the first choice in the treatment of spontaneous pneumatothorax.