【摘要】 目的探讨电视胸腔镜手术(video-assisted thoracoscopic surgery,VATS)治疗自发性气胸术后选择性不留置胸腔闭式引流的可行性。方法 2015年4~10月在VATS治疗20例中青年自发性气胸中,依据患者术中肺大疱情况和胸腔排气后胸腔引流情况选择8例术后不留置胸腔闭式引流。结果 8例术后第1天切口疼痛轻微,无须止痛治疗,切口皮肤无坏死,出院后门诊复诊1~2次,平均1.8次。8例随访3~8个月,平均5.2月,无气胸复发。结论自发性气胸患者胸腔镜手术后选择性不留置胸腔引流管安全可行,有利于减少患者术后不适,避免引流管口皮肤坏死。更多还原

【Abstract】 Objective To investigate the feasibility of selective non-indwelling thoracic drainage tube after video-assisted thoracoscopic surgery( VATS) in the treatment of spontaneous pneumothorax. Methods A total of 20 cases of spontaneous pneumothorax were treated with VATS from April 2015 to October 2015. Eight patients were selected not to be given pleural drainage tubation according to the bullae of lung lesions and thoracic drainage after the surgical side chest expansion. Results Postoperative slight wound pain happened in the 8 cases,and no treatment was required. The skin wound had no necrosis. The patients were reviewed at outpatient for 1- 2 times( average,1. 8 times). The 8 cases were followed up for 3- 8 months,with an average of 5. 2months. There was no recurrence of pneumothorax. Conclusions After the treatment of spontaneous pneumothorax by VATS,patients without indwelling pleural drainage tube are safe. It can reduce postoperative patient discomfort and avoid skin necrosis around thoracic drainage tube.更多还原