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目的研究在胸腔镜手术治疗肺大泡中如何改进手术方式，降低手术费用，且安全可靠。方法胸腔镜下，应用普通手术器械和缝针缝线结扎缝合肺大泡治疗２１例自发性气胸。结果手术效果满意，无手术死亡，无中转开胸，无输血，平均住院６ｄ；随访５个月～２年肺大泡无复发。结论应用普通手术器械和缝针缝线在胸腔镜手术中使用是可行的，能取得与应用商品器械一样的治疗效果，降低手术费用。
Objective To study how to improve the surgical method in the treatment of pulmonary bullae by thoracoscope and to reduce the operation cost and to be safe and reliable. Methods Under thoracoscopic surgery, 21 cases of spontaneous pneumothorax were treated with sutured bullae by using common surgical instruments and sutures. Results The operation was satisfactory, no operative death, no transfer thoracotomy, no blood transfusion, the average hospitalization 6d; 5 months to 2 years follow-up of bullous follicles without recurrence. Conclusion The use of common surgical instruments and sutures in thoracoscopic surgery is feasible and can achieve the same therapeutic effect as using commercial instruments and reduce the operating costs.