中国内镜杂志2011，Vol.17Issue(9)：954-956,959,4.
低能量电凝处理多发胸膜下肺大疱在自发性气胸术中的应用
Low energy electrocoagulation of subpleural multiple blebs in the operation for primary spontaneous pneumothorax
陈应泰 1黄宇清 1崔健 1孟宪璞 1刘军 2王俊2
作者信息
- 1. 北京市海淀医院胸外科,北京100080
- 2. 北京大学人民医院胸外科暨胸部微创中心,北京100044
- 折叠
摘要
Abstract
[Objective] To discuss the feasibility, availability and technical key-point of low energy electrocoag-ulation of the subpleural multiple blebs in the operation of primary spontaneous pneumothorax. [Methods] 77 patients with subpleural multiple blebs were treated by low energy electrocoagulation within the operation for primary spontaneous pneumothorax from Mar 2004 to Aug 2010. In operation, the bullas and large blebs at the apex were dissected by an Endo-GIA, the other subpleural blebs with a diameter less than 1 cm were treated by low energy (10~15 KJ) electrocoagulation. [Results] The average time of hospitalization was 11.2 days, average time of operation was 121.8 minutes, average blood loss in operation was 40 mL, the average time of chest tube drainage was 5.9 days. If regarded 7 days as a criterion of persistent air leakage, no patients suffered persistent air leakage and other complications after operation. All the patients were followed up to Oct 2010, with an average follow-up for 26months. Except for 3 patients with a contralateral recurrence, all the other patients did no recur. [ Conclusion ] Low energy electrocoagulation of the multiple blebs in operation for primary spontaneous pneumothrax is easy, reliable and effective.关键词
自发性气胸/胸腔镜/肺大疱/低能量电凝Key words
primary spontaneous pneumothrax/thoracoscopic surgery/bleb/low energy electrocoagulation分类
医药卫生引用本文复制引用
陈应泰,黄宇清,崔健,孟宪璞,刘军,王俊..低能量电凝处理多发胸膜下肺大疱在自发性气胸术中的应用[J].中国内镜杂志,2011,17(9):954-956,959,4.
