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目的:临床观察经胸腔镜(VATS,video-assisted thoracic surgery)肺大疱切除术治疗青少年复发性气胸的效果。方法:回顾笔者所在医院2008-2013年来42例青少年复发性气胸患者行胸腔镜下肺大疱切除术,并分析总结。结果:42例患者术后均顺利恢复,平均手术时间60分钟,平均住院5天,随访1-6年无复发,术后无严重并发症或死亡现象。结论:胸腔镜下切除使肺大疱切除术简单化,具有减小患者创伤,减少出血量,缩短手术时间,缩短住院时间等优势,具有很大的临床价值和长远的应用前景。
Objective: To observe the effect of VATS (video-assisted thoracic surgery) in the treatment of recurrent pneumothorax in children. Methods: The authors retrospectively reviewed 42 cases of recurrent pneumothorax in our hospital from 2008 to 2013 undergoing thoracoscopic lobectomy. Results: All 42 patients recovered well after operation. The average operation time was 60 minutes and the average hospital stay was 5 days. There was no recurrence after 1-6 years of follow - up. There was no serious complication or death after operation. Conclusion: Thoracoscopic resection of bullae resection can be simplified, with the advantages of reducing trauma, reducing blood loss, shortening the operation time and shortening the hospital stay, which has great clinical value and long-term application prospects.