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目的探讨胸腔镜下一期手术行双肺包虫内囊摘除术的临床疗效。方法接受胸腔镜下治疗的双侧肺包虫患者19例。全身麻醉,双腔气管插管,单肺通气。先行左侧手术,胸部取3个1.5 cm小切口,高渗盐水纱布垫术中于穿刺点以下及周围保护胸腔,三通针头于内囊最高点处穿刺,吸净囊液后,切开外囊壁,切除内囊置于标本袋中从胸腔移出,然后重新摆体位行右侧手术。结果手术时间115~195分钟,平均152分钟;出血150~300 nml,平均出血195 ml,术后住院时间8~20天,平均10.3天;漏气2例,其中单侧1例,双侧1例;脓胸1例;19例患者随访1~5年,平均2.3年,无复发患者。结论胸腔镜下双肺包虫一期手术内囊摘除术安全,有效,创伤小、并发症少。
Objective To investigate the clinical effect of intrathoracic hydatid cyst removal undergoing thoracoscopic surgery in the first phase. Methods Thirteen patients with bilateral pulmonary hydatid disease underwent thoracoscopic surgery. General anesthesia, double lumen tracheal intubation, single lung ventilation. First left surgery, the chest to take three 1.5 cm small incision, hypertonic saline gauze pad in the puncture point below and around the protection of the chest, three-way needle puncture the highest point of the internal capsule, net absorption of cyst fluid, cut open Wall, removal of the internal capsule placed in the specimen bag removed from the chest, and then re-pendulum line right surgery. Results The operation time ranged from 115 to 195 minutes with an average of 152 minutes. The hemorrhage ranged from 150 to 300 nml, with an average of 195 ml. The postoperative hospital stay was 8 to 20 days (mean, 10.3 days). There were 2 cases of air leak, including 1 case of unilateral and 1 bilateral Cases; empyema in 1 case; 19 patients were followed up for 1 to 5 years, an average of 2.3 years, no recurrence of patients. Conclusions Thoracoscopic lung hydatid disease operation of internal capsule removal is safe, effective, less trauma and less complications.