论文部分内容阅读
目的:探讨电视胸腔镜手术在创伤性膈疝诊治中的应用与疗效。方法:收集1998年2月~2015年4月确诊为创伤性膈疝行电视胸腔镜下手术治疗的146例患者的临床资料。回顾性分析患者临床表现、辅助检查、手术入路、切口选择、术式、术后引流时间等情况。结果:146例均行胸腔镜手术,137例为入院当日急诊手术,9例为入院3日内手术。本组146例均痊愈出院,平均住院6.3日。结论:电视胸腔镜手术是胸部微创外科的代表性手术,应用于创伤性膈疝的诊治,不仅提高了本病的诊断率,而且使临床医生在本病急诊手术治疗中可迅速、全面了解病情,准确、快速、安全修补受损脏器,使诊断与治疗同步,急诊抢救的成功率大幅度上升。
Objective: To discuss the application and curative effect of video-assisted thoracoscopic surgery in the diagnosis and treatment of traumatic diaphragmatic hernia. Methods: The clinical data of 146 patients who underwent video-assisted thoracoscopic surgery for traumatic diaphragmatic hernia diagnosed from February 1998 to April 2015 were collected. Retrospective analysis of patients with clinical manifestations, laboratory examinations, surgical approach, incision selection, surgical procedures, postoperative drainage time and so on. Results: 146 cases underwent thoracoscopic surgery, 137 cases were emergency surgery on the day of admission, and 9 cases were admitted to hospital within 3 days. The group of 146 patients were discharged, the average hospital stay 6.3 days. Conclusion: Video-assisted thoracoscopic surgery is a representative surgery for minimally invasive thoracic surgery. It is used in the diagnosis and treatment of traumatic diaphragmatic hernia, which not only improves the diagnosis rate of this disease, but also enables clinicians to quickly and comprehensively understand the disease in the surgical treatment of this disease Accurate, rapid and safe repair damaged organs, so that the diagnosis and treatment simultaneously, the success rate of emergency treatment increased significantly.