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胸腔镜手术治疗儿童肺大泡的体会
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摘要
目的:探讨胸腔镜手术治疗儿童肺大泡的可行性和疗效。方法:2005年1月~2015年10月,我院儿外科采用胸腔镜手术治疗儿童先天性肺大泡30例,回顾性总结肺大泡的临床表现、诊断和手术指征,讨论胸腔镜手术治疗儿童肺大泡的可行性;结果:本组患儿手术一次成功,顺利康复出院。患儿术后住院天数5~10天,平均7.5天,术后随诊2个月~4年,术侧无气胸复发,疗效满意。结论:胸腔镜手术治疗儿童肺大泡可行,安全有效,创伤小,恢复快,疼痛轻,术后住院时间短,复发率低。
Objective:To investigate the feasibility and efficacy of thoracoscopic surgery in the treatment of children with pulmonary bullae. Methods: in January 2005 to October 2015, my courtyarddepartment of pediatrics with 30 cases of thoracoscopic surgery in the treatment of children with congenital pulmonary bulla, retrospective summary of the bulla clinical manifestations, diagnosis andsurgical indications, discuss the feasibility of thoracoscopic surgery in the treatment of children with pulmonary bulla; Results: in this group of patients surgery a success, successfully recovered and weredischarged. Postoperative hospital stay was 5 to 10 days, average 7.5 days, postoperative follow-up for 2 months to 4 years, there was no recurrence of pneumothorax, the curative effect was satisfactory. Conclusion: thoracoscopic surgery in the treatment of children with pulmonary bulla is feasible, safe and effective, less trauma, faster recovery, less pain, shorter postoperative hospital stay and lowrecurrence rate.
引文
[1]钟世镇。刘正津,姜宗来,等.胸心外科临床解剖学[M].济南:山东科学技术出版社,2000,5:203
    [2]彭学锋,李成继,龚立宏.肺大泡破裂致自发性气胸51例的外科治疗[J].实用医学杂志,2003,19(1):64

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