摘要
目的探讨电视胸腔镜肺大疱切除术后加行胸膜摩擦术对年轻原发性自发性气胸患者的必要性。方法 62例行电视胸腔镜肺大疱切除术的年轻原发性自发性气胸患者分为两组,楔形切除(WR)组和楔形切除+胸膜摩擦组(WR+PA)。结果 WR组的手术时间、术后引流量、术后拔管时间、术后住院时间均显著少于WR+PA组,两组患者复发率无显著差异。结论电视胸腔镜肺大疱切除术后加行胸膜摩擦并没有显著降低气胸的复发率。
Objective To investigate the necessity of VATS pulmonary bullae resection followed by pleural abrasion in young patients with primary spontaneous pneumothorax. Methods 62 young patients with primary spontaneous pneumothorax given routinely VATS pulmonary bullae resection were divided into two groups, the wedge resection group （ WR） and the wedge resection plus pleural abrasion group （ WR＋PA） . Results The operative time, postoperative drainage volume, postoperative extubation time and postoperative hospital stay were significantly less in the WR group than in the WR＋PA group. There was no significant difference in recurrence rate between two groups. Conclusion VATS pulmonary bullae resection followed by pleural abrasion can not significantly reduce the recurrence of pneumothorax.
出处
《临床肺科杂志》
2015年第12期2190-2192,共3页
Journal of Clinical Pulmonary Medicine
关键词
原发性自发性气胸
胸膜摩擦
治疗
primary spontaneous pneumothorax
pleural abrasion
treatment
