经剑突下切口胸腔镜同期治疗双侧肺大疱30例

发布时间：2018-11-13 12:11

【摘要】：目的探讨经剑突下切口胸腔镜同期治疗双侧肺大疱的临床价值。方法 2014年1月~2016年1月我院对30例双侧肺大疱采用单孔胸腔镜同期手术,剑突下4 cm切口作为单孔,将胸腔镜置入病变较重侧胸腔后,寻找到肺大疱,对基底直径0.5 cm大疱直接电棒烧灼;基底直径0.5~2 cm大疱Hem-o-lok夹闭或切除后缝扎处理;基底直径2 cm的片状肺大疱用Endo-GIA切除。一侧手术完成后,再经单孔将胸腔镜置入对侧胸腔,同法完成对侧手术。结果术中出血量(53.1±17.6)ml,手术时间(105.6±20.3)min,术后胸管留置时间(6.3±2.5)d,术后住院时间(8.9±2.6)d。术后肺漏气2例,经胸腔冲洗后治愈。30例术后随访3~12个月,平均7.6月,均无复发。结论经剑突下切口单孔胸腔镜同期手术治疗双侧肺大疱安全、可靠。
[Abstract]:Objective to evaluate the clinical value of thoracoscopic treatment of bilateral pulmonary bullae through subscleral incision. Methods from January 2014 to January 2016, 30 patients with bilateral bullae were treated with single hole thoracoscopic surgery, 4 cm incision under the sword process was used as the single hole, and the bullae of lung was found after placement of thoracoscope on the heavier side of the lesion. Direct electric rod cauterization of basal diameter 0.5 cm bullous; The basal diameter of 0.5 ~ 2 cm bullous Hem-o-lok was occluded or sutured after resection, and the lamellar pulmonary bullae with 2 cm basal diameter was resected by Endo-GIA. After unilateral operation, the thoracoscopy was placed into the contralateral thoracic cavity, and the contralateral operation was performed with the same method. Results the intraoperative bleeding volume was (53.1 卤17.6) ml, operation time was (105.6 卤20.3) min, postoperative chest tube indwelling time was (6.3 卤2.5) days, postoperative hospitalization time was (8.9 卤2.6) days. Pulmonary leakage was cured in 2 cases after operation, 30 cases were followed up for 3 ~ 12 months (mean 7.6 months), no recurrence was found. Conclusion it is safe and reliable to treat bilateral pulmonary bullae with single-hole thoracoscopy via subdractory incision.
【作者单位】：曲靖市第一人民医院胸心外科;
【分类号】：R655.3

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