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目的探讨电视胸腔镜缝合结扎治疗肺大疱及破裂的疗效。方法原发性肺大疱１６例，继发性肺大疱６例，病变首次发作６例，经胸腔闭式引流１～２周，复发２次者１１例，３次者３例。我们在胸腔镜下用３－０号带针涤纶线缝合肺大疱基底部，用食指伸入胸腔或普通持针器打外科结加普通７－０号丝线结扎。对继发性肺大疱加胸膜固定术。结果全组病人均在胸腔镜下完成手术，胸腔引流留置时间２～７天，平均３天，随访至今未见复发。结论胸腔镜下缝合结扎法治疗肺大疱及破裂是一种疗效可靠、经济、实用的方法。
Objective To evaluate the efficacy of video-assisted thoracoscopic suture and ligation in the treatment of bullae and rupture. Methods Sixteen cases of primary pulmonary bullae, six cases of secondary bullous bullae, six cases of first episode of disease, one case of closed drainage by drainage tube for 1 to 2 weeks, 11 cases of secondary recurrence and 3 cases of 3 cases. We use the thoracoscope with 3-0 with polyester needle suture the basis of the base of the lung bulla, with the index finger into the chest or common needle holder surgical knot plus ordinary 7-0 thread ligation. Secondary bullous folds and pleurodesis. Results All the patients underwent thoracoscopic surgery. The drainage time of thoracic cavity was 2 to 7 days, an average of 3 days. No recurrence was observed up to now. Conclusions Thoracoscopic suture ligation and treatment of bullae and rupture is a reliable, economical and practical method.