【摘要】 目的:探讨电视胸腔镜手术(video-assisted thoracoscopic surgery,VATS)治疗肺部肿物的临床价值及适应证。方法:回顾分析2010年1月至2010年12月40例肺部肿瘤患者行电视胸腔镜手术的临床资料。结果:40例手术均获成功,手术时间45～150 min,平均(70±35)min。术中出血量20～150 ml,术后2～7 d拔除胸腔引流管。术后合并肺部感染3例,经加强抗感染及促排痰等处理后痊愈。随访5～12个月,3例失访,无切口感染及支气管胸膜瘘等并发症发生,局部复发1例,无死亡病例。结论:电视胸腔镜手术是诊治肺部肿物可靠、有效的手段,值得推广应用。更多还原

【Abstract】 Objective:To evaluate the clinical effects and the indication of video-assisted thoracoscopic surgery(VATS) for pulmonary lumps.Methods:The clinical data of 40 patients with pulmonary lumps were analyzed retrospectively,24 cases received VATS and 16 cases received video assisted minithoracotomy(VAMT) from Jan.2010 to Dec.2010.Results:All surgeries were performed successfully,and the mean operating time was(70±35) min(45-150 min),the blood loss was 20-150 ml.The drainage was removed in 2-7 days after surgery.There were 3 cases of pulmonary infection which was cured by enhancing anti-infection treatment and promoting sputum discharge.During the 5-12 months following-up,3 cases were lost follow-up,no wound infection or bronchopleural fistula occurred,1 recurrenced and no death.Conclusions:VATS is safe and feasible for diagnosis and treatment of pulmonary lumps.更多还原