文档介绍：2 mm针型胸腔镜的临床应用
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【摘要】目的掌握新型的2 mm胸腔镜(针镜)的应用。方法作者在普通胸腔镜熟练使用的基础上,于1996年7月~1997年7月应用2 mm微型胸腔镜治疗47例。胸腔探查和抽液15例,单侧肺大疱切除术11例,双侧肺大疱切除术5例,气胸肺修补术4例,肺楔形切除术3例,肺癌术前分期术2例和术后胸腔探查2例,肺叶切除术2例,食管癌根治术1例,纵隔神经纤维瘤切除术2例。结果均达到满意的诊断和治疗效果,无并发症发生。结论 2 mm针镜创伤小,应用方便,且可在床边操作,对术后了解胸内情况和抽吸胸液有极大的诊断价值和部分治疗价值。但2 mm微镜的视野较小,而且要近镜才能看清病变,器械柔软也影响了操作,需大量实践后才能熟练选择穿刺定位和操作,2 mm微镜应用还需作进一步探讨。
【Abstract】 Objective To determine the clinical safety and efficacy of microthoracoscopic surgery. Method From July 1996 to July 1997,video-assisted thoracoscopic surgery was performed in 47 patients by using 2 mm were 36 males and 11 age ranged from 40 to 75 years with a mean age of procedures included bullectomy (16 patients),wedge resection (3),lung cancer staging (4),lobectomy (2),exploration (15), and resection of mediastinal tumor (2),esophagectomy (1) and repair of pneumothorax (4).Local anesthesia was employed in 18 patients and general anesthesia with double lumen endotracheal tube in 29. Result There were no operative mortality and plications. Conclusion 2 mm microthoracoscopic surgery could be used in the management of a variety of thoracic may be of significant value for diagnostic and therapeutic purposes,but the further study for this new technique is required to determine its safety and effecacy.