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目的 探讨电视胸腔镜手术 (VATS)对小儿胸部疾病诊断和治疗的价值。方法 2 5例平均年龄 6.7岁 ,平均体重 2 0 .1kg的胸部疾病患儿施行VATS ,其中脓胸清除 9例、纵隔肿瘤摘除 7例 ,肺大泡、肺囊肿切除 3例 ,肺叶切除、血胸清除与先天性膈疝处理各 2例 ,占同期VATS总数 (2 60例 )的 9.6 %。结果 全组平均手术时间 74min ,平均留置胸管 2 .4d ,术后平均住院 7.2d ,1例膈疝术后第 10d因左肺发育不良死于呼吸衰竭。 1例脓胸术后拔胸管时并发气胸 ,经处理好转。结论 小儿VATS安全可行 ,发展前景良好。
Objective To investigate the value of video-assisted thoracoscopic surgery (VATS) in the diagnosis and treatment of pediatric chest diseases. Methods Twenty-five children with chest disease average 6.7 years old and average body weight 2.01 kg were enrolled in VATS. Among them, 9 cases were empyema removed, 7 cases were mediastinal tumor excision, 3 cases were pulmonary bullae and cyst excision, 3 cases were lobectomy and blood Thoracic removal and congenital diaphragmatic hernia were treated in 2 cases, accounting for 9.6% of the total VATS in the same period (260 cases). Results The mean operation time was 74min in all the groups, with an average of 2. 4 days in which the chest tube was placed. The average postoperative hospital stay was 7.2 days. One case died of respiratory failure due to left hypoplasia on the 10th day after diaphragmatic hernia. A case of empyema chest pull thoracic pneumothorax, improved after treatment. Conclusion Pediatric VATS is safe and feasible, and its development prospect is good.