摘要
目的 报告 2 0例胸腔镜下完成肺大泡手术的病例。方法 手术在全麻单侧肺通气下用自动切割缝合器或内镜下缝扎处理肺大泡。结果 本组无手术死亡及并发症 ,将这组病人与开胸手术的 35例病人作比较 ,显示胸腔镜手术具有创伤小、出血少、疼痛轻、恢复快及用药少等优点。结论 胸腔镜下肺大泡切除是一种安全实用的手术。
Objective To compare the results of video-assited thoracoscopic surgery(VATS) and conventional open thoracotompy in the treatment of pulmonary bullae.Methods From December 1998 to May 2001,20 patients with pulmonary bullae were treated under VATS procedures.There were 16 males and 4 females.The mean age of patients was 58.6 years(ranged form 15 to 78 years).The results of VATS was compared with those for 35 patients with pulmonary bullae treated by conventional open thoractomy.Results There were no operative mortality and postoperative complications in VATS group.The mean operating time was 78.8±16.4 minutes for VATS group and 86.4±14.2 minutes for open one(P>0.05).The mean duration of chest drainage was 46.3±9.7 hours for VATS group and 68.0±12.8 hours for open one(P<0.01).The mean hospital stay after surgery was 8.2±2.3 days for VATS group and 13.2±3.1 days for open one(P<0.01).The difference between two groups was statistically significant(P<0.01).Conclusion VATS should be considered as the approach of choise for pulmonary bullae.
出处
《中国基层医药》
CAS
2002年第4期302-303,共2页
Chinese Journal of Primary Medicine and Pharmacy
