碘伏法电视胸腔镜治疗原发性自发性气胸98例的临床研究

目的:探讨碘伏法电视胸腔镜治疗原发性自发性气胸的安全性及临床疗效。方法:回顾性研究2010年1月-2013年1月唐都医院胸腔外科收治的98例原发性自发性气胸患者,按照是否行胸膜固定术随机分为两组,比较两组患者的手术时间、术中出血、术后引流量、住院时间、术后并发症发病率及术后1年气胸的复发率。结果:两组患者的手术时间、术中出血、术后漏气时间、住院时间及术后并发症(广泛皮疹、低血压、伤口感染)的发生率比较差异均无统计意义(P0.05),术中行胸膜固定术可显著降低术后气胸的复发率(P0.01)。结论:电视胸腔镜手术过程中利用碘伏涂擦壁层胸膜行胸膜固定术是一种能够有效预防原发性自发性气胸术后气胸复发的安全可靠的治疗方式。

A Clinical Study on 98 Cases of Primary Spontaneous Pneumothorax Treated by Video-assisted Thoracoscopic Surgery with Iodophor*

Objective： To investigate the clinical effect and safety of primary spontaneous pneumothorax with iodophor in the treatment of primary spontaneous pneumothorax. Methods： A retrospective study was performed on 98 patients with primary spontaneous pneumothorax, according to the use of pleurodesis, they were randomly divided into two groups. The operation time, intraoperative bleeding, postoperative drainage, hospitalization time, postoperative complications and the recurrence rate of pneumothorax in 1 years after operation- were compared between two groups. Results： No significance was found in the operation time, intraoperative bleeding, postoperative leakage time, hospitalization time and postoperative complications （widespread rash, hypotension, wound infection） between two groups （p〉0.05）, intraoperative pleural fixation could significantly reduce the recurrence rate of pneumothorax after operation （P〈0.01）. Conclusion： Video-assisted thoracoscopic operation with iodophor was an effective method to reduce the recurrence of pneumothorax of primary spontaneous pneumothorax after operation.