【摘要】 目的总结选择性应用腋下小切口开胸手术治疗自发性气胸的临床经验。方法对46例自发性气胸患者采用腋下小切口行开胸手术,与以前同类常规前外侧切口开胸手术进行对照分析。结果全组无手术死亡,无其他并发症,手术时间(1.3±0.2)h,术后胸腔引流量(160±28.5)ml,术后平均住院天数(8±0.5)d,两组比较差异有显著意义(P<0.05)。结论腋下小切口治疗自发性气胸是一种安全可靠的微创手术,对无胸腔镜医院,不失为一种可取方法。更多还原

【Abstract】 Objective To sum up the clinical trial of adopting transaxillary minithoracotomy selectively to cure spontaneous pneumothorax patients.Methods 46 patients with spontaneous pneumothorax were selected and treated with transaxillary minithoracotomy and we compared them with patients treated with anterolateral thoracotomy as a control group.Results In the transaxillary minithoracotomy group,all cases had no death and other complication,the average length of operation was (1.3±0.2) hours,total drainage volume after operation was (160±28.5)ml and period of hospital stay after operation was (8±0.5) days.The difference between two groups proved to be statistically significant(P<0.05).Conclusion The transaxillary minithoracotomy is a safe,reliable and desirable mini-invasive operation when a spontaneous pneumothorax patient requires surgery in a hospital without video-assisted thoracoscopic surgery(VATS).更多还原