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目的探讨电视胸腔镜小切口手术治疗自发性气胸的疗效。方法收集2008年4月至2014年6月在偃师市人民医院胸外科住院治疗的自发性气胸患者50例,采用电视胸腔镜小切口手术治疗,记录其手术时间、出血量及术后并发症情况。结果本研究50例患者手术时间为(149.3±10.9)min;出血量为(240.2±40.6)ml,均未输血,均治愈出院。住院时间为(15.2±3.2)d。术后无一例复发。结论 VAMT治疗自发性气胸有较好的疗效,创伤小、手术时间短、出血少,术后恢复快等优点,该术式可结合传统开胸手术来进行手术操作,避免大出血和损伤胸腔器官和组织,减少医疗费用,对部分基层医院和经济欠发达地区较为适宜。
Objective To investigate the curative effect of video-assisted thoracoscopic surgery for spontaneous pneumothorax. Methods Fifty patients with spontaneous pneumothorax were treated in the Department of Thoracic Surgery, Yanshi People’s Hospital from April 2008 to June 2014. Surgical time, amount of bleeding and postoperative complications were recorded by using video-assisted thoracoscopic surgery. Happening. Results The operation time of the 50 patients in this study was (149.3 ± 10.9) min and the amount of bleeding was (240.2 ± 40.6) ml respectively. The length of stay was (15.2 ± 3.2) days. No recurrence after surgery. Conclusions VAMT is effective in treating spontaneous pneumothorax and has the advantages of less trauma, shorter operative time, less bleeding and faster postoperative recovery. This procedure can be combined with traditional thoracotomy for surgical procedures to avoid massive bleeding and injury to the thoracic organs and Organizations to reduce medical costs, some grassroots hospitals and economically underdeveloped areas more appropriate.