摘要
目的探讨电视胸腔镜在创伤性血胸中的应用。方法2000年3月～2004年3月,电视胸腔镜手术治疗创伤性中等量以上血胸60例,其中伴休克征象12例,合并肝脾损伤6例。单侧胸腔镜手术48例,除3例心脏损伤辅助小切口行心脏修补术外,均在镜下手术;双侧胸腔镜手术6例;胸腔镜和腹腔镜联合手术6例。结果手术时间45～175min,平均105min。术后住院7～13d,平均11d,无并发症发生。结论电视胸腔镜手术治疗创伤性血胸手术时间短,恢复快,是一种安全、有效、微创的方法。
Objective To evaluate the application of video-assisted thoracoscopic surgery (VATS) in the treatment of traumatic hemothorax. Methods We performed VATS in 60 cases of traumatic hemothorax with medium amount of bleeding or above from March 2000 to March 2004, including 12 cases accompanying the prodrome of shock and 6 cases associated with injuries of liver or spleen. Unilateral VATS was carried out in 48 cases, all of which were completed under thoracoscope except 3 cases of heart injuries were supplemented with mini-incision repair. Bilateral VATS was conducted in 6 cases and the combination of thoracoscopy with laparoscopy was required in 6 cases. Results The operation time was 45～175 min (mean, 105 min) and the postoperative hospital stay was 7～13 days (mean, 11 days). No complication occurred. Conclusions VATS in the management of traumatic hemothorax is safe, effective and minimally invasive, with a relatively short operation time and quick recovery.
出处
《中国微创外科杂志》
CSCD
2004年第5期420-421,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
电视胸腔镜手术
胸部创伤
血胸
Video-assisted thoracoscopic surgery
Thoracic trauma
Hemothorax
