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目的:探讨采用单纯肺大疱切除手术治疗原发自发性气胸的可行性。方法:回顾性分析2013年1月至2015年12月采用胸腔镜下单纯行肺大疱切除手术治疗的120例原发自发性气胸患者的临床资料,观察术后引流量、胸管停留时间、住院时间及术后复发等情况。结果:术后引流量10~150 mL;胸管停留时间1~3 d;住院时间2~8 d;无严重术后并发症,术后随访6~12个月,复发率2.5%。结论:对首次发作的有明确肺大疱存在的原发自发性气胸,胸腔镜下单纯肺大疱切除术具有创伤更小、恢复快,效果好等优点,值得推广应用。
Objective: To explore the feasibility of using simple bullae surgery in the treatment of primary spontaneous pneumothorax. Methods: The clinical data of 120 patients with primary spontaneous pneumothorax treated by thoracoscopic simple bullae surgery from January 2013 to December 2015 were retrospectively analyzed. The amount of drainage, the length of stay of the chest tube, Length of stay and postoperative recurrence and so on. Results: The postoperative drainage volume was 10-150 mL; the chest tube residence time was 1-3 days; the length of hospital stay was 2-8 days; no serious postoperative complications were found. The recurrence rate was 2.5% after 6-12 months of follow-up. Conclusion: For the first episode of primary spontaneous pneumothorax with clear bullae, thoracoscopic simple bullae resection has the advantages of less trauma, quick recovery and good effect, which is worth popularizing and applying.