[1]刘彦国,卜梁,姜冠潮,等.再次胸腔镜手术治疗胸腔镜术后复发气胸11例分析[J].中国微创外科杂志,2008,08(11):970-972.
　Liu Yanguo,Bu Liang,Jiang Guanchao,et al.Redovideothoracoscopy for the Treatment of Postoperatively Recurrent Spontaneous Pneumothorax: Analysis of 11 Cases[J].Chinese Journal of Minimally Invasive Surgery,2008,08(11):970-972.
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再次胸腔镜手术治疗胸腔镜术后复发气胸11例分析()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
08
期数:
2008年11期
页码:
970-972
栏目:
出版日期:
2008-11-05

文章信息/Info

Title:
Redovideothoracoscopy for the Treatment of Postoperatively Recurrent Spontaneous Pneumothorax: Analysis of 11 Cases
作者:
刘彦国; 卜梁; 姜冠潮; 李剑锋; 崔健①; 刘军; 王俊
北京大学人民医院胸外科胸部微创中心，北京100044
Author(s):
Liu Yanguo;  Bu Liang;  Jiang Guanchao;  et al.
Department of Thoracic Surgery & Center of Thoracic Miniinvasive Surgery, Peking University, People's Hospital, Beijing 100044, China
关键词:
自发性气胸; 肺大疱; 胸腔镜手术
Keywords:
Spontaneous pneumothorax; Pulmonary bleb; Thoracoscopic surgery
分类号:
R655；R561.4
文献标志码:
A
摘要:
目的探索再次胸腔镜手术治疗胸腔镜术后复发气胸的可行性。方法2000年1月～2008年4月11例胸腔镜手术后气胸复发（复发时间3月以内者7例，1年以上者4例）再手术经由原切口进胸，行肺大疱切除，联合胸膜切除（n=5）、胸膜摩擦（n=5）、喷洒滑石粉法（n=1）行胸膜固定。结果11例手术顺利，手术时间（128±35）min，术中出血量（160±95）ml。 无中转开胸、术中大出血及围术期死亡。11例术后随访1～86个月，（48±15）月，气胸再次复发2例（182%），均为初期病例且再手术采用摩擦法行胸膜固定的患者。结论再次胸腔镜手术治疗术后复发性气胸技术上可行，但须采用胸膜切除法行胸膜固定以保证手术效果。
Abstract:
ObjectiveTo access the feasibility of redovideothoracoscopy in the treatment of postoperatively recurrent spontaneous pneumothorax.MethodsFrom January 2000 to April 2008, totally 11 consecutive patients (all were male, with a mean age of 289 years) underwent redovideothoracoscopy because of recurrent spontaneous pneumothorax. Among the patients, 3 had the recurrence within 3 months after a videothoracoscopy, and 4 had received the surgery over 1 year ago. The redooperations were performed via the initial incisions; 5 of the patients received stapling of the residual bullae plus partial pleurectomy, 5 underwent pleural abrasion, and 1 received talc poudrage.ResultsThe procedures were completed in all of the patients with a mean operation time of (128±35) min and mean blood loss of (160±95) ml. None of them were converted to an open surgery, had massive hemorrhage during the operation, or died perioperation. They were followed up for 1 to 86 months with a mean of (48±15) months, during which 2 (182%) had recurrent pneumothorax. Both of them were at the earlystage and were treated by pleural abrasion.ConclusionsRedovideothoracoscopy is feasible for postoperatively recurrent spontaneous pneumothorax. Pleurodesis with parietal pleurectomy is essential to assure the longterm outcome of the procedure.

参考文献/References:

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备注/Memo

备注/Memo:
①（北京市海淀医院胸外科，北京100080）
更新日期/Last Update: 2013-10-23