Transaxillary minithoracotomy (TAMT) versus antero/posterolateral thoracotomy (APLT) for primary spontaneous pneumothorax

GE Ming-jian; et al

doi:10.13406/j.cnki.cyxb.2000.01.030

您当前的位置：

首页 >

文章列表页 >

Transaxillary minithoracotomy (TAMT) versus antero/posterolateral thoracotomy (APLT) for primary spontaneous pneumothorax

更新时间：2024-01-17

- Transaxillary minithoracotomy (TAMT) versus antero/posterolateral thoracotomy (APLT) for primary spontaneous pneumothorax
- Journal of Chongqing Medical University Issue 1, Pages: 83-84(2000)
- 作者机构：
  
  重庆医科大学临床学院胸外科,400016
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2000.01.030
  CLC： R655
- Published：2000，
扫描看全文
[1]葛明建,李良彬,温剑虎,吴庆琛,秦治明,杜铭.腋下小切口及常规切口治疗自发性气胸的比较研究[J].重庆医科大学学报,2000(01):83-84+64.

GE Ming-jian, et al. Transaxillary minithoracotomy (TAMT) versus antero/posterolateral thoracotomy (APLT) for primary spontaneous pneumothorax. [J]. Journal of Chongqing Medical University (1):83-84(2000)
[1]葛明建,李良彬,温剑虎,吴庆琛,秦治明,杜铭.腋下小切口及常规切口治疗自发性气胸的比较研究[J].重庆医科大学学报,2000(01):83-84+64. DOI： 10.13406/j.cnki.cyxb.2000.01.030.

GE Ming-jian, et al. Transaxillary minithoracotomy (TAMT) versus antero/posterolateral thoracotomy (APLT) for primary spontaneous pneumothorax. [J]. Journal of Chongqing Medical University (1):83-84(2000) DOI： 10.13406/j.cnki.cyxb.2000.01.030.

摘要

比较腋下小切口（ＴＡＭＴ）和前／后外侧切口（ＡＰＬＴ）治疗自发性气胸（ＳＰ）的临床效果。共７２例ＳＰ病人接受了治疗，对其中４０例采用ＡＰＬＴ手术途径，而对另外３２例则采用ＴＡＭＴ方法。对两组病人的手术时间、切口长度、术后杜冷丁用量、胸引管安放时间以及住院时间等方面进行比较分析。ＴＡＭＴ组与ＡＰＬＴ组比较，在切口长度（７．６±１．１ｃｍＶＳ１８．６±２．１．ｃｍ，Ｐ＜０．０１）、术后杜冷丁用量（１０２．８±５８．ｇｍｇ　ＶＳ２４３．９±９９．１ｍｇ，Ｐ＜０．０１）和术盾住院时间（６．４±１．３天ＶＳ８．９±１．５天，Ｐ＜０．０１）等方面均有显著差异。两组病人术后随访均无复发。ＴＡＮＴ法治疗ＳＰ疗效确切，缩短了住院时间，减轻了术后疼痛和不适，具有，明显的美容效果，符合“微创”外科的新观点，值得推广。

Abstract

Objective To compare the clinical results of transaxillary minithoracotomy(TAMT) and antero/ posterolateral thoracotomy(APLT) in treating primary spontaneous pneumothorax (SP). Methods Seventy-two patients with primary SP were involved in this study. Forty patients were treated by APLT and 32 by TAMT. The operating time、 length of incision. amount of Dolantin used on the postoperative day

duration of the indwelling chest tube and the time of hospitalization were compared. Results The length of incision was 7.6 ±1. 1cm in TAMT and 18.6±2. 1cm in APLT (P< 0.01). The amount of Dolantin used on the postoperative days was 102.8±58.9 mg in TAMT and 243.9±99.1 mg in APLT(P<0.01). The time of hospitalization was 6.4 ±1.3 days in TAMT and 8.9±1.5 days in APLT. There was no case of recurrence in either group. Conclusions TAMT is curative

limits hospitslization

permits rapid retuned to a normal lifestyle

diminishes patients’ pain and is cosmetically acceptable. It fits with today’s trend ofmini-invasive surgical procedures. It is recommended that patients with primary SP should undergo TAMT.

关键词

自发性气胸外科治疗微创

Keywords

Spontaneous pneumothoraxOperationMini-invasive procedures

references

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Video-assisted thoracoscopic surgery (VATS) versus transaxillary minithoracotomy (TAMT) for the treatment of spontaneous pneumothorax

Video-assisted thoracoscopic surgery (VATS) with ligation and suture for the treatment of spontaneous pneumothorax

Related Author

DU Ming

et al

刘雄

李良彬

温剑虎

秦治明

葛明建

DU Ming

Related Institution

Department of Cardiothoracic Surgery,College of Clinical Medicine,Chongqing Medical University

四川省盐亭县肿瘤研究所

重庆医科大学临床学院胸心外科

⁰