摘要
目的探讨电视胸腔镜在胸部疾病手术治疗中的应用价值。方法采用电视胸腔镜对42例胸部疾病的患者进行了手术治疗。34例术中见有肺大泡破裂行肺大泡钛夹间断夹闭,4例血气胸由于胸内有大量凝血块,胸腔镜下难以清除而附加一个6cm的切口;5例肺部肿块在辅助小切口下行肺楔形切除和肺叶切除术;1多汗症患者行两侧胸内交感神经切除。结果所有病人均成功地进行了电视胸腔镜手术,术中仅有l例并发复张性肺水肿,抢救转危为安,无手术死亡。平均手术时间78分钟,住院时间为6.1天,术后临床症状明显改善,疗效满意。结论电视胸腔镜手术具有切口小、创伤轻、出血少和对心肺功能影响小等优点,是一项很有发展前景诊治胸内疾病的手段。
Objective:To study the clinical application of video-assisted thoracoscopic surgery(VATS)in thoracic diseases.Methods:VATS was done in42cases of thoracic diseases.Occlusion with interrupted tita-nium clips and pleurodesis under VATS were performed on34patients with spontaneous pneumothorax and hemopneumothorax caused by reptured bullae.A assisted manipulation incision of6cm was done in4cases with hemopneumothorax because of failure to remove the blood clot by thoracoscopy.5cases of lung tumor underwent lung wedge resection and lobectomy by minimal incision in VATS.Sympathectomy was treated in1hyperhidrosis.Results All patients were successfully conducted thoracoscopic surgery and only one patient com-plicated with reexpansion pulmonary edema;but recovered after emergency management.There was no death in the operation.The average operational time was78minutes and hospitalization days were6.1.Clinical improve-ment was observed in all the patients postoperatively and effect was satisfactory.Conclusions VATS is the min-imally invasive surgery.It has characteristic of mini-incision,less pain,less bleeding,less transfusing,less affecting cardiopulmonary function.So it is sure that VATS will be developed to a successful procedure in the treatment of thoracic diseases.
出处
《海南医学》
CAS
2005年第1期21-23,共3页
Hainan Medical Journal
关键词
电视胸腔镜
胸部疾病
外科手术
vedio-assisted thoracoscopic surgery
thoracic diseases
surgical operation
