Get'man V G
Grudn Khir. 1989 Jul-Aug(4):50-5.
The author analysed the use of thoracoscopy in 12 patients with radiopaque and radiolucent foreign bodies in the pleural cavity, lung, mediastinum, myocardium, and diaphragm. The indications for the examination were specified: (1) foreign body in the pleural, cavity or its existence suspected; (2) indistinct character of an intrathoracic foreign body and injury inflicted by it to the viscera; (3) specification of surgical tactics and method for removal of the foreign body and rational surgical approach. Thoracoscopy made it possible to detect not only foreign bodies of different character, but the damages caused by them to the viscera, and the complications. Foreign bodies were removed during thoracoscopy in two thirds of cases.
作者分析了胸腔镜在12例胸膜腔、肺、纵隔、心肌和膈肌内存在不透光及透光异物患者中的应用情况。明确了检查的适应证:(1)胸膜腔内有异物或怀疑有异物存在;(2)胸内异物的特征不明确及其对脏器造成的损伤;(3)明确手术策略及取出异物的方法和合理的手术入路。胸腔镜不仅能够发现不同性质的异物,还能发现异物对脏器造成的损害及并发症。三分之二的病例在胸腔镜检查期间取出了异物。