[1]胡杰伟,钟钏**,杨绪全.胸腔镜治疗合并复杂情况的巨大肺大疱32例报告[J].中国微创外科杂志,2018,18(6):503-516.
　Hu Jiewei,Zhong Chuan,Yang Xuquan..Thoracoscopic Treatment of Giant Pulmonary Bulla With Complex Conditions: Report of 32 Cases[J].Chinese Journal of Minimally Invasive Surgery,2018,18(6):503-516.
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胸腔镜治疗合并复杂情况的巨大肺大疱32例报告()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
18
期数:
2018年6期
页码:
503-516
栏目:
临床研究
出版日期:
2018-09-30

文章信息/Info

Title:
Thoracoscopic Treatment of Giant Pulmonary Bulla With Complex Conditions: Report of 32 Cases
作者:
胡杰伟; 钟钏**; 杨绪全
四川省遂宁市中心医院胸外科，遂宁629000
Author(s):
Hu Jiewei;  Zhong Chuan;  Yang Xuquan.
Department of Thoracic Surgery, Suining Central Hospital, Suining 629000, China
关键词:
巨大肺大疱; 电视胸腔镜手术
Keywords:
Giant pulmonary bulla; Video-assisted thoracoscopic surgery
文献标志码:
A
摘要:
目的探讨电视胸腔镜治疗合并复杂情况的巨大肺大疱的效果。方法2011年9月~2015年11月，对32例合并复杂情况的巨大肺大疱行胸腔镜手术。参照美国医疗研究委员会呼吸困难指数分级，呼吸困难Ⅳ级22例，Ⅴ级10例。结果均在胸腔镜下完成手术，无中转开胸，术后保留胸腔引流管时间4~7 d 17例，8~14 d 14例，48 d 1例。术后随访12~18个月，（16.0±3.2）月，呼吸困难Ⅰ级10例，Ⅱ级22例，日常生活均能自理。结论合并复杂情况巨大肺大疱能够在胸腔镜下完成，手术效果良好。
Abstract:
ObjectiveTo explore the efficacy of thoracoscopic treatment of giant pulmonary bulla with complex conditions.MethodsVideo-assisted thoracoscopic surgery (VATS) was performed in 32 cases of giant pulmonary bulla with complex conditions in our department from September 2011 to November 2015. According to the dyspnea index of the American medical research council, there were 22 cases with distress index Ⅳ and 10 cases with distress index Ⅴ.ResultsAll the patients underwent thoracoscopic surgery smoothly. The drainage tube was retained for 4-7 d in 17 cases, 8-14 d in 14 cases and 48 d in 1 case. The follow-up after operation was 12-18 months (mean, 16.0±3.2 months). The dyspnea index was maintained at grade Ⅰ in 10 cases and grade Ⅱ in 22. All the patients were able to take care of themselves in daily life.ConclusionGiant pulmonary bulla with complex conditions can be treated under thoracoscopy with good surgical outcomes.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：四川省遂宁市科技发展项目(2014s34)**通讯作者,E-mail:zchuanhappy@126.com
更新日期/Last Update: 2018-09-30