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[胸腔镜下心包开窗术治疗渗出性心包炎患者]

[Thoracoscopic fenestration of pericardium during the treatment of patients, suffering exudative pericarditis].

作者信息

Shevchuk I M, Snizhko S S, Hladun B V

出版信息

Klin Khir. 2012 Jul(7):49-51.

Abstract

There were examined 67 patients, treated in the Thoracic Department of Rural Ivano-Frankivsk Clinical Hospital for exudative pericarditis in 2005-2009 yrs. In 27 (40.2%) patients a fenestration of pericardium was performed, using videoassisted thoracoscopy (VATHS), and in 40 (59.8%) - a pericardium cavity puncture according to Larrey method. The results of surgical treatment were analyzed, comparative estimation of the every method efficacy was conducted. The advantages of VATHS application with pericardium fenestration in patients, suffering exudative pericarditis, were proved. Indications for the VATHS application in patients, suffering exudative pericarditis, were determined.

摘要

对2005年至2009年期间在伊万诺-弗兰科夫斯克农村临床医院胸科接受渗出性心包炎治疗的67例患者进行了检查。27例(40.2%)患者采用电视辅助胸腔镜手术(VATHS)进行心包开窗术,40例(59.8%)患者采用拉雷法进行心包腔穿刺。分析了手术治疗结果,对每种方法的疗效进行了比较评估。证实了VATHS在心包开窗术治疗渗出性心包炎患者中的优势。确定了VATHS在渗出性心包炎患者中的应用指征。

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