摘要
作者等自1992年11月至1994年3月,用胸腔镜进行胸部手术36例次,其中包括反复发作的自发性气胸、肺大跑切除、胸膜固定术14例(双侧病变同时手术1例);肺周围型肿物,肺楔形切除术10例;恶性胸水、胸膜活检、胸膜固定术4例;胸膜病变,胸膜活检术3例;肺部肿瘤活检术2例;双肺弥漫性病变,肺活检术2例;中转开胸2例。无手术死亡和严重并发症发生。取得较为满意的诊断和治疗效果。与同期开胸探查手术相比较,胸腔镜手术创伤小,术后疼痛轻,胸腔引流量、置管时间、术后住院日都有不同程度的减少或缩短。
AbstractFrom November 1992 to March 1994 , thirty fivepatients were performed using VATS in our hospital.The procedures included blebectomy with pleurodesis14 cases; wedge resection 10 cases; malignant pleuraleffusion, pleural biopsy and pleurodesis 4 cases;pleu-ral biopsy 3 cases; lung tumor biopsy 2 cases; lungbiopsy 2 cases. Converted into thoracotomy 2 cases be-cause of the tumors could not be resected thoracoscopi-callv. No death and severe complication. The pro-cedures were successful for diagnosis and treatment inour series. Compared with standard thoracotomy, theoperative trauma, postoperative pain, dranage volume,tube time, postoperative hospitalization were remark-ably less in this group(P<0. 05)。
出处
《中华外科杂志》
CAS
CSCD
北大核心
1994年第10期580-583,共4页
Chinese Journal of Surgery