【摘要】：目的：探討胸腔鏡同期治療對(duì)側(cè)肺大皰的療效。方法：回顧分析新疆醫(yī)科大學(xué)第一附屬醫(yī)院2011年3月至2013年4月所有行手術(shù)治療的160例肺大皰患者的臨床資料,根據(jù)肺大皰所在部位及手術(shù)部位分為A、B、C三組。A組：108例自發(fā)性氣胸患者無對(duì)側(cè)肺大皰而接受單側(cè)胸腔鏡肺大皰切除術(shù)；B組：40例自發(fā)性氣胸患者有雙側(cè)肺大皰,但只接受單側(cè)胸腔鏡肺大皰切除術(shù)；C組：12例自發(fā)性氣胸患者患雙側(cè)肺大皰,同期行雙側(cè)胸腔鏡肺大皰切除術(shù)。分析三組患者對(duì)側(cè)氣胸發(fā)生率及急性肺水腫、胸腔粘連、呼吸衰竭、術(shù)后肺漏氣等并發(fā)癥的發(fā)生率。結(jié)果：隨訪20個(gè)月,A組：術(shù)后發(fā)生急性肺水腫1例(0.9%),胸腔粘連11例(10.19%),呼吸衰竭2例(1.86%),術(shù)后漏氣5例(4.62%)。隨訪期間對(duì)側(cè)發(fā)生自發(fā)性氣胸3例(2.78%)。B組：術(shù)后發(fā)生胸腔粘連4例(10.00%),呼吸衰竭1例(2.50%),術(shù)后漏氣3例(7.50%)。對(duì)側(cè)發(fā)生自發(fā)性氣胸15例(37.50%)。C組：術(shù)后發(fā)生胸腔粘連2例(16.67%),術(shù)后漏氣1例(8.33%)。隨訪期間無對(duì)側(cè)自發(fā)性氣胸的發(fā)生。結(jié)論：同期電視胸腔鏡手術(shù)預(yù)防性治療對(duì)側(cè)肺大皰,療效滿意,安全可靠,能有效預(yù)防對(duì)側(cè)氣胸的發(fā)生。
[Abstract]:Objective: to evaluate the efficacy of thoracoscopic treatment of contralateral pulmonary bullae. Methods: the clinical data of 160 patients with pulmonary bullae treated in the first affiliated Hospital of Xinjiang Medical University from March 2011 to April 2013 were retrospectively analyzed. According to the location of pulmonary bullae and the site of operation, group A was divided into group A (n = 108) and group A (n = 108) without contralateral pneumothorax. Group B (n = 40) received unilateral thoracoscopic pneumonectomy and group B (n = 40) had bilateral pulmonary bullous pneumothorax. But only unilateral thoracoscopic pneumonectomy was performed in group C: 12 patients with spontaneous pneumothorax suffered from bilateral bullous pneumothorax and bilateral thoracoscopic bullous pneumonectomy was performed at the same time. The incidence of contralateral pneumothorax, acute pulmonary edema, thoracic adhesion, respiratory failure and postoperative lung leakage were analyzed. Results: in group A, acute pulmonary edema occurred in 1 case (0.9%), thoracic adhesion in 11 cases (10.19%), respiratory failure in 2 cases (1.86%) and air leakage in 5 cases (4.62%). Spontaneous pneumothorax occurred in 3 cases (2.78%) in the contralateral pneumothorax. Group B: thoracic adhesion occurred in 4 cases (10.00%), respiratory failure in 1 case (2.50%), and postoperative air leakage in 3 cases (7.50%). There were 15 cases (37.50%) with spontaneous pneumothorax on the contralateral side. In group C, thoracic adhesion occurred in 2 cases (16.67%) and air leakage in 1 case (8.33%). There was no contralateral spontaneous pneumothorax during follow-up. Conclusion: the prophylactic treatment of contralateral pulmonary bullae by video-assisted thoracoscopic surgery is satisfactory, safe and reliable, and can effectively prevent the occurrence of contralateral pneumothorax.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R655.3

【參考文獻(xiàn)】

相關(guān)期刊論文 前2條

1 余文熙;沈贊;姚陽(yáng);;14例骨肉瘤肺轉(zhuǎn)移致自發(fā)性氣胸的臨床觀察[J];臨床腫瘤學(xué)雜志;2014年01期

2 徐全;;經(jīng)電視胸腔鏡肺大皰切除對(duì)肺大皰并發(fā)氣胸的治療價(jià)值[J];中國(guó)醫(yī)藥指南;2012年33期

，

本文編號(hào)：2214246