胸腔镜手术在自发性血气胸中的应用

目的探讨胸腔镜手术在治疗自发性血气胸中的意义。方法分析我院自发性血气胸临床15例患者,均经胸腔镜手术。结果所有患者手术成功完成,其中14例经胸腔镜手术,1例胸腔镜手术术中转开胸手术。手术时间30～128 min,平均57 min,术后24 h平均引流液168 ml,术后胸腔闭式引流管放置时间1～6 d,平均2.9 d,术后恢复良好,无术中及术后并发症。术后住院时间4～12 d,平均8.2 d。结论自发性血气胸患者经胸腔镜手术安全、有效,创伤小,对患者的恢复有积极意义。

Video-assisted thoracic surgery for treatment of spontaneous hemopneumothorax

Objective To determine the role of Video-assisted thoracoscopic surgery in spontaneous hemopneumothorax(SPH).Methods From feburary 2005 to august 2011,15 patients with spontaneous hemopneumothorax were treated.Results All 15 operations were successfully performed.14 patients were successfully received in Video-assisted thoracoscopic surgery and 1 patient was treated with open thoracotomy.The outcome of the operation revealed mean operation time of 57 minutes(rang from 30~128 minutes),mean drainage of 168 ml during 24 hours after operation.The mean time for chest tube removal was 2.9 days(rang from 1~6 days),and the mean postoperative stay was 8.2 days(rang from 4~12 days).All patients recovered well after surgery and had no perioperative complications or postoperative complications.Conclusion VATS was an safe,minimal invasion and feasible treatment for patients with spontaneous hemopneumothorax.