【摘要】 目的 :临床评价胸腔镜联合医用OB胶治疗肺大疱致自发性气胸的手术疗效。方法 :全麻气管双腔插管下用一细长注射针头抽吸医用OB胶适量经胸腔镜操作孔对肺大疱进行腔内注射或切开表面喷涂法来粘闭肺大疱和根治自发性气胸。结果 :全组 2 6例全部治愈出院 ,平均随访达 12个月 ,均无气胸复发。结论 :胸腔镜联合医用OB胶肺大疱腔内注射或喷涂是完全有效的 ,能较多地保留肺组织 ,既安全又节省手术成本 ,尤其适用于多发性肺大疱的手术治疗。更多还原

【Abstract】 Objective:To estimate the effect of operation that utilizing combined thoracoscope and OB glue treat spontaneous pneumothorax caused by pneumatocele.Methods:Under the condition of general anesthesia,with trachea double catheter insertion,use a long and thin needle sucked suitable OB glue,and inject it into pneumatocele through operation holes;or cutdown the pneumatocele and paint it on the surface to achieve the objective of closing bullae and curing the pneumothorax.Results:ALL 26 patients had cured and no recurrence after averaged 12 months follow-up.Conclusions:That combination of thoracoscope and OB glue treats spontaneous pneumothorax caused by pneumatocele is effective and simple,which can reserve more pulmonary tissues and reduce the cost of operation.This method is applicable to multiple pneumatocele especially.更多还原