【摘要】 目的:总结青壮年自发性气胸的外科治疗经验。方法:探讨自发性气胸患者在手术指征、手术方式、是否行胸膜固定及术后是否放置胸腔引流等存在争议的地方,并形成共识,指导2015年收住本院的34例自发性气胸患者的治疗。结果:5例保守治疗后出院,29例进行手术治疗,其中VATS手术25例,VAMT手术4例。VATS术后10例未放置胸腔引流,VAMT中2例加用胸膜摩擦固定术。随访3~12个月,1例不愿手术的患者出院后再次复发回院行VATS手术,VATS手术患者1例复发,回院保守治疗后出院。结论:中青年自发性气胸患者的治疗,必须不断用新的医学证据对治疗中存在的争议进行探讨,达成共识并用于治疗患者,患者才能收到合适的治疗效果。更多还原

【Abstract】 Objective To summarize the experience of surgical treatment of spontaneous pneumothorax in young adults. Methods To investigate the spontaneous pneumothorax in patients with surgical indications, surgical approach, whether the pleural fixation and postoperative thoracic drainage and formed a consensus to guide the treatment of patients with spontaneous pneumothorax who were in our hospital in 2015. Results 5 patients were discharged after conservative treatment, 29 underwent surgical treatment, including 25 patients with VATS and 4 with VAMT. After VATS, 10 cases did not place pleural drainage, and 2 cases of VAMT were treated with pleural friction fixation. Follow up 3-12 months, 1 patients previously refusing to surgery, because of pneumothorax recurrence once again returned to the hospital to accept VATS surgery. One of the patients with VATS recurred and the patients were discharged after conservative treatment. Conclusions In the treatment of spontaneous pneumothorax patients, we must continue to explore the controversies in the treatment with new medical evidence, to reach a consensus for the treatment of patients, who will get the appropriate treatment effect.更多还原