局部麻醉电视胸腔镜滑石粉胸膜固定术治疗原发性自发性气胸：133 例分析。
Treatment of primary spontaneous pneumothorax by videothoracoscopic talc pleurodesis under local anesthesia: a review of 133 procedures.
机构信息
Department of Thoracic Surgery and Unit of Human Anatomy and Embryology, Servei de Cirurgia Toràcica, Hospital Universitari de Bellvitge, School of Medicine, University of Barcelona, 08907 L'Hospitalet de Llobregat, Spain.
出版信息
Surg Endosc. 2010 May;24(5):984-7. doi: 10.1007/s00464-009-0707-9. Epub 2009 Sep 30.
AIM
To review our experience of treatment of primary spontaneous pneumothorax by videothoracoscopic talc pleurodesis.
METHODS
From 2000 to 2008, 124 consecutive patients with primary spontaneous pneumothorax were operated; 105 were men (84.7%) and 19 were women (15.3%) with a mean age of 26.6 years (range 17-46 years).
RESULTS
No mortality was recorded. Staging according to Vanderschueren's classification was as follows: stage I, 61 patients (45.9%); stage II, 39 patients (29.3%); stage III, 31 patients (23.3%); stage IV, two patients (1.5%). The overall rate of complications was 9% (12/133), corresponding to prolonged air leak in 9(6.7%) patients and hemothorax in 3(2.2%) patients. Four patients (3%) had recurrence requiring reoperation. There were no episodes of acute respiratory failure, pneumonia or subcutaneous emphysema following talc pleurodesis.
CONCLUSIONS
Thoracoscopic pleural talc pleurodesis as a treatment for recurrent pneumothorax is easy, safe, and rapid, and causes minimal morbidity and mortality.
目的
总结电视胸腔镜滑石粉胸膜固定术治疗原发性自发性气胸的经验。
方法
2000 年至 2008 年，124 例原发性自发性气胸患者接受了电视胸腔镜滑石粉胸膜固定术治疗；其中男 105 例（84.7%），女 19 例（15.3%），平均年龄 26.6 岁（17~46 岁）。
结果
无死亡病例。根据 Vanderschueren 分期：Ⅰ期 61 例（45.9%），Ⅱ期 39 例（29.3%），Ⅲ期 31 例（23.3%），Ⅳ期 2 例（1.5%）。总并发症发生率为 9%（12/133），其中持续漏气 9 例（6.7%），血胸 3 例（2.2%）。4 例（3%）患者复发需要再次手术。滑石粉胸膜固定术后无急性呼吸衰竭、肺炎或皮下气肿发生。
结论
电视胸腔镜滑石粉胸膜固定术治疗复发性气胸操作简单、安全、快速，且并发症少，死亡率低。
Zotero 插件