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目的评价胸腔镜手术在原发性自发性气胸术后复发的治疗效果。方法回顾性分析26例原发性自发性气胸术后复发患者的临床资料、手术过程及术后情况。结果全部患者手术过程顺利,无中转开胸患者,全部胸腔内均存在粘连,新生肺大疱患者占80.8%,未见肺大疱患者占19.2%。全部患者平均手术时间(85±34)min,平均术中出血量(65±44)ml,平均住院时间(6±3)d,全部患者均治愈出院。对全部患者进行门诊随访,随访过程中无一例患者出现气胸复发情况。结论胸腔镜手术用于治疗原发性自发性气胸术后复发,主要通过对新生肺大疱进行切除,并对影响肺组织复张的粘连带进行松解,并对胸腔内残腔进行清除,从而达到治疗的效果。
Objective To evaluate the therapeutic effect of thoracoscopic surgery on the recurrence of primary spontaneous pneumothorax. Methods Retrospective analysis of 26 cases of primary spontaneous pneumothorax recurrence patients with clinical data, surgical procedures and postoperative conditions. Results All the patients underwent the surgical procedure smoothly without thoracotomy. All of the patients had adhesions in the thoracic cavity, 80.8% of them were newborn bullous vesicles, and 19.2% of those without bullae. All patients had an average operation time of (85 ± 34) min, average blood loss (65 ± 44) ml, and average length of stay (6 ± 3) d. All patients were cured and discharged. All patients were outpatient follow-up, no one patient during follow-up showed pneumothorax recurrence. Conclusions Thoracoscopic surgery for the treatment of primary spontaneous pneumothorax recurrence, mainly through the removal of bullae of newborn, and adhesion of the impact of lung tissue reparation loosening, and removal of the residual cavity in the chest, So as to achieve the effect of treatment.