在电视辅助胸腔镜手术时代经腋下开胸进行胸膜摩擦术
Pleural abrasion via axillary thoracotomy in the era of video assisted thoracic surgery.
作者信息
Simansky D A, Yellin A
机构信息
Department of Thoracic Surgery, Sheba Medical Center, Tel Hashomer, Israel.
出版信息
Thorax. 1994 Sep;49(9):922-3. doi: 10.1136/thx.49.9.922.
Abstract
BACKGROUND
Recurrent episodes of spontaneous pneumothorax can be managed medically or surgically by various methods, video assisted thoracoscopy being the latest and most attractive.
METHODS
A retrospective analysis was made of 43 pleural abrasions performed in 39 patients through a 4-6 cm axillary thoracotomy incision.
RESULTS
There were no deaths and complications were few. At a mean follow up of 33 months there were two recurrences, neither of which required drainage.
CONCLUSIONS
Compared with results achieved with video assisted thoracoscopic surgery, open pleural abrasion via a small thoracotomy may be the treatment of choice in most hospitals.
摘要
背景
复发性自发性气胸可通过多种方法进行内科或外科治疗，电视辅助胸腔镜手术是最新且最具吸引力的方法。
方法
对39例患者通过4 - 6厘米腋后线开胸切口进行的43次胸膜摩擦术进行回顾性分析。
结果
无死亡病例，并发症较少。平均随访33个月时有2例复发，均无需引流。
结论
与电视辅助胸腔镜手术的结果相比，经小切口开胸进行开放性胸膜摩擦术可能是大多数医院的首选治疗方法。
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