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目的 探讨电视胸腔镜手术 (VATS)在婴幼儿胸部疾病诊断和治疗中的价值。方法 对10例平均年龄 1 8岁 ,平均体重 9 7kg的婴幼儿施行了VATS ,包括脓胸清除 4例、纵隔肿瘤摘除、先天性肺囊肿切除和先天性膈疝修补各 2例 ,占同期VATS总数的 3 1%。结果 全组平均手术时间 6 8min。平均留置胸管 2 0d。术后平均住院 7 5d。其中 1例膈疝术后第 10d因左肺发育不良、左肺不张死于呼吸衰竭。结论 婴幼儿VATS安全、可行 ,发展前景良好。
Objective To evaluate the value of video-assisted thoracoscopic surgery (VATS) in the diagnosis and treatment of chest diseases in infants and young children. Methods VATS was performed in 10 infants and children with mean age of 18 and average weight of 97 kg, including 4 cases of empyema removal, mediastinal tumor removal, congenital cyst excision and congenital diaphragmatic hernia repair, accounting for the total number of VATS Of the 3 1%. Results The average operation time of the whole group was 68min. The average indwelling chest tube 20d. The average hospital stay after 7 5d. One case of diaphragmatic hernia after 10 days due to left lung dysplasia, left lung atelectasis died of respiratory failure. Conclusion Infants and young children VATS safe, feasible, good prospects for development.