论文部分内容阅读
目的:探讨碘伏法电视胸腔镜治疗原发性自发性气胸的安全性及临床疗效。方法:回顾性研究2010年1月-2013年1月唐都医院胸腔外科收治的98例原发性自发性气胸患者,按照是否行胸膜固定术随机分为两组,比较两组患者的手术时间、术中出血、术后引流量、住院时间、术后并发症发病率及术后1年气胸的复发率。结果:两组患者的手术时间、术中出血、术后漏气时间、住院时间及术后并发症(广泛皮疹、低血压、伤口感染)的发生率比较差异均无统计意义(P>0.05),术中行胸膜固定术可显著降低术后气胸的复发率(P<0.01)。结论:电视胸腔镜手术过程中利用碘伏涂擦壁层胸膜行胸膜固定术是一种能够有效预防原发性自发性气胸术后气胸复发的安全可靠的治疗方式。
Objective: To investigate the safety and clinical efficacy of video-assisted thoracoscopy in the treatment of idiopathic spontaneous pneumothorax. Methods: A retrospective study was performed on 98 patients with primary spontaneous pneumothorax admitted in the Department of Thoracic Surgery, Tangdu Hospital from January 2010 to January 2013. The patients were divided into two groups according to whether pleurodesis was performed or not. The operation time , Intraoperative bleeding, postoperative drainage, hospital stay, incidence of postoperative complications and recurrence rate of pneumothorax after 1 year. Results: There was no significant difference in the incidence of operation time, intraoperative bleeding, postoperative leakage time, hospital stay and postoperative complications (extensive rash, hypotension, wound infection) between the two groups (P> 0.05) Intraoperative pleurodesis could significantly reduce the recurrence rate of postoperative pneumothorax (P <0.01). Conclusions: The use of iodophor to coat the parietal pleura during pleurodesis during video-assisted thoracoscopic surgery is a safe and reliable treatment for the prevention of pneumothorax recurrence after primary spontaneous pneumothorax.