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目的 :探讨电视胸腔镜治疗自发性气胸的适应证及疗效。方法 :对 2 0例自发性气胸患者在静脉复合全麻下 ,经电视胸腔镜处理。结果 :术后第 1天 2 0例病人均能起床活动及正常进食 ,伤口疼痛轻 ;术后第3天胸片均示肺复张良好 ,术后住院时间 3～ 10天 ,平均 7天。近期随访无复发。结论 :电视胸腔镜下治疗自发性气胸方法快捷 ,疗效确切 ,创伤小 ,值得推广。
Objective: To investigate the indications and curative effects of video-assisted thoracoscopy in the treatment of spontaneous pneumothorax. Methods: Twenty patients with spontaneous pneumothorax under intravenous combined anesthesia were treated by video-assisted thoracoscopy. Results: On the first day after operation, all patients were able to get up and eat normally. The pain of the wound was light. On the third day after operation, chest radiograph showed good pulmonary reclamation. The postoperative hospital stay was 3 to 10 days with an average of 7 days. No recurrence of recent follow-up. Conclusion: Video-assisted thoracoscopic thoracoscopic treatment of spontaneous pneumothorax method is quick, effective, less trauma, it is worth promoting.