[1]赵桂彬,张凯,董庆,等.电视胸腔镜治疗全肺不张型原发性自发性气胸[J].中国微创外科杂志,2010,10(6):501-503.
　Zhao Guibin,Zhang Kai,Dong Qing,et al.Videoassisted Thoracoscopy for Complete Atelectasis in Patients with Primary Spontaneous Pneumothorax[J].Chinese Journal of Minimally Invasive Surgery,2010,10(6):501-503.
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电视胸腔镜治疗全肺不张型原发性自发性气胸()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
10
期数:
2010年6期
页码:
501-503
栏目:
出版日期:
2010-07-01

文章信息/Info

Title:
Videoassisted Thoracoscopy for Complete Atelectasis in Patients with Primary Spontaneous Pneumothorax
作者:
赵桂彬; 张凯; 董庆; 辛衍忠; 张翔宇; 闫宇博; 崔键
哈尔滨医科大学第四临床医学院胸外科，哈尔滨150001
Author(s):
Zhao Guibin;  Zhang Kai;  Dong Qing;  et al.
Department of Thoracic Surgery, Fourth Hospital Affiliated to Harbin Medical University, Harbin 150001, China
关键词:
电视胸腔镜手术; 原发性自发性气胸; 肺大疱
Keywords:
Videoassisted thoracoscopic surgery; Primary spontaneous pneumothorax; Pulmonary bullae
分类号:
R655.2
文献标志码:
A
摘要:
目的评价电视胸腔镜手术（videoassisted thoracoscopic surgery，VATS）治疗全肺不张型原发性自发性气胸（primary spontaneous pneumothorax，PSP）的价值。方法2002年4月~2008年5月，对38例全肺不张型PSP均行VATS。用内镜切割缝合器(EndoGIA)切除肺大疱（6例）或丝线结扎（32例）。结果37例手术顺利，因胸腔粘连呈蔓状中转小切口手术1例。手术时间45～256 min，（115±31）min。术中出血量30～300 ml，（110±95）ml。术后并发症2例(1例术后锁骨下动脉分支小血管出血，1例脓胸，均再次VATS手术)，无围术期死亡。38例术后随访2～85个月，（43.2±16.1）月，气胸无复发。结论全肺不张型PSP应积极行VATS治疗。
Abstract:
ObjectiveTo evaluate the value of videoassisted thoracoscopic surgery (VATS) for the treatment of complete atelectasis in patients with primary spontaneous pneumothorax (PSP). MethodsFrom April 2002 to May 2008, VATS was carried out in our hospital for 38 patients with complete atelectasis and primary spontaneous pneumothorax. By using EndoGIA, resection of pulmonary bullae was performed on 6 cases and ligation of pulmonary bullae was carried out in the other 32 patients.ResultsThe procedures were completed smoothly in all of the patients except in 1 patient who was converted to thoracotomy with a small incision because of pleural adhesion. The operation time ranged from 45 to 256 min with a mean of (115±31) min, during which the volume of blood loss ranged from 30 to 300 ml ［mean, (110±95) ml］. Two patients developed complications after the surgery, one of them had had hemorrhage of small branches of the subclavian artery, and the other showed empyema; both of them received a second VATS. None of the 38 patients died perioperatively. The patients were followed up for 2 to 85 months ［mean (43.2±16.1) months］; during the period, no recurrent pneumothorax occurred.ConclusionVATS surgery should be performed actively for patients with complete atelectasis and PSP.

参考文献/References:

[1]张钧，刘玉祥.自发性气胸电视胸腔镜手术治疗的现状.中国微创外科杂志，2008，8（6）:375-377.
[2]Hatz RA,Kaps MF,Meimarakis G,et al.Longterm results after videoassisted thoracoscopic surgery for firsttime and recurrent spontaneous pneumothorax.Ann Thorac Surg,2000,70:253-257.
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[5]Sawada S,Watanabe Y,Moriyama S.Videoassisted thoracoscopic surgery for primary spontaneous pneumothorax:evaluation of indications and longterm outcome compared with conservative treatment and open thoracotomy.Chest,2005,127:2226-2230.
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备注/Memo

备注/Memo:
崔键通讯作者，Email：cuijian_111@163.com
更新日期/Last Update: 2013-07-16