|本期目录/Table of Contents|

[1]罗立国,景 华,胡小南,等.电视胸腔镜手术治疗自发性气胸(附80例报告)[J].医学研究与战创伤救治(原医学研究生学报),2010,12(02):107.
　LUO Li-guo,JING Hua,HU Xiao-nan,et al.80 cases of spontaneous pneumothorax by video-assisted thoracic surgery[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2010,12(02):107.
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电视胸腔镜手术治疗自发性气胸(附80例报告)()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第12卷
期数:
2010年02期
页码:
107
栏目:
出版日期:
2010-03-20

文章信息/Info

Title:
80 cases of spontaneous pneumothorax by video-assisted thoracic surgery
文章编号:
1672-271X(2010)02-0107-03
作者:
罗立国; 景 华; 胡小南; 王 波; 张 雷
210002 江苏南京，南京军区南京总医院心胸外科
Author(s):
LUO Li-guo;  JING Hua;  HU Xiao-nan;  WANG Bo;  ZHANG Lei.
Department of Cardiothoracic Surgery, Nanjing General Hospital of Nanjing Military Command, Nanjing, Jiangsu 210002, China
关键词:
电视胸腔镜手术;  自发性气胸;  小切口
Keywords:
video-assisted thoracic surgery;  spontaneous pneumothorax;  minithoracotomy
分类号:
R561.4
DOI:
-
文献标志码:
A
摘要:
目的 总结电视胸腔镜手术(VATS)治疗自发性气胸的经验。方法 回顾性分析我院2005年5月至2009年4月对80例自发性气胸行VATS治疗的临床资料，其中双侧同期行VATS 7例；加辅助小切口3例，肺大疱采用Endo-GIA45mm直线型切割缝合器切除，均采取胸膜固定术。结果 全部治愈，术后平均胸腔引流时间5.8天(3~12天)，随访3个月至4年，2例复发。结论 VATS是治疗自发性气胸的首选方法，创伤小，疗效好。
Abstract:
Objective To summarize the experience of treatment of spontaneous pneumothorax by video-assisted thoracic surgery. Methods We retrospectively analyzed the clinical data of 80 cases of spontaneous pneumothorax by video-assisted thoracic surgery in our hospital from May 2005 to April 2009. 7 cases underwent simultaneous bilateral surgery. 3 cases underwent video-assisted minithoracotomy surgery. All cases were underwent bullectomy by Endo-GIA45mm cutter and pleurodesis. Results All 80 patients were cured. The chest drainage tube was withdrawn 5.8 days postoperatively (3 to 12 days). The follow-up period was 3 monthes to 4 years, two cases underwent recurrence. Conclusion VATS is the first choice for the treatment of spontaneous pneumothorax. It has less invasion and better therapeutic effect.

参考文献/References:

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[3］朱晓枫，范 军，马冬春,等. 电视胸腔镜手术治疗自发性气胸(附126例报告)［J］.中国微创外科杂志，2008，8(7)：611-612.
[4］Margolis M, Gharagozloo F, Tempesta B, et al. Video-assisteted thoracic surgical treatment of initial spontaneous pneumothorax in young patient［J］. Ann Thorac Surg, 2003, 76 (5): 1661-1663.
[5］缪 军，于 奇，韩继彪,等. 电视胸腔镜治疗自发性气胸50例分析［J］. 东南国防医药，2007，9(4)：256.
[6］Hatz RA, Kaps MF, Meimarakis G, et al. Long-term results after video-assisted thoracoscopic surgery for first-time and recurrent spontaneous pneumothorax［J］. Ann Thorac Surg, 2000, 69 (1): 253-257.
[7］Luh SP, Tsai TP, Chou MC, et al. Video-assisted thoracic surgery for spontaneous pneumothorax: outcome of 189 cases ［J］. Int Surg， 2004， 89 (4)：185-189.
[8］Kim ES, Kang JY, Pyo CH, et al. 12-year experience of spontaneous hemopneumothorax ［J］. Ann Thorac Cardiovasc Surg， 2008， 14 (3): 149-153.
[9］Cardillo G, Facciolo F, Giunti R, et al. Videothoracoscopic treatment of primary spontaneous pneumothorax： a 6-year experience［J］. Ann Thorac Surg, 2000, 69 (2): 357-362.
[10］Bialas RC, Weiner TM, Phillips JD . Video-assisted thoracic surgery for primary spontaneous pneumothorax in children: is there an optimal technique？ ［J］. J Pediatr Surg， 2008， 43 (12): 2151-2155.

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备注/Memo

备注/Memo:
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更新日期/Last Update: 2010-03-20