Dotsenko A P, Potapenkov M A, Shipulin P P
Grudn Khir. 1989 Jul-Aug(4):44-7.
Thoracoscopy was conducted in 223 patients with spontaneous and traumatic pneumothorax; 26 of them were treated by diathermal coagulation of the lungs, thoracic wall, and bleeding vessels, 34--by laser photocoagulation. Nd-laser with a wave length of 1.06 mcm was used as the source of laser radiation. The indications for thoracoscopy and the techniques of using laser radiation in thoracoscopy are described. Diathermal coagulation of the lung failed to produce an effect in 2 patients with spontaneous pneumothorax, laser photocoagulation was ineffective in 3 patients with spontaneous pneumothorax and in one patient with a knife injury of the right lung. Laser photocoagulation has advantages over diathermal coagulation.
对223例自发性和外伤性气胸患者进行了胸腔镜检查；其中26例采用肺、胸壁及出血血管的透热凝固治疗，34例采用激光光凝治疗。使用波长为1.06微米的钕激光作为激光辐射源。描述了胸腔镜检查的适应证及胸腔镜中激光辐射的使用技术。透热凝固治疗对2例自发性气胸患者无效，激光光凝治疗对3例自发性气胸患者和1例右肺刀伤患者无效。激光光凝比透热凝固更具优势。
