气胸的内窥镜手术。

Grudnaia khirurgiia (Moscow, Russia) Pub Date : 1989-07-01
A P Dotsenko, M A Potapenkov, P P Shipulin
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引用次数: 0

摘要

对223例自发性和外伤性气胸进行胸腔镜检查;其中26例采用肺、胸壁和出血血管的热凝治疗,34例采用激光光凝治疗。采用波长为1.06 mcm的nd激光器作为激光辐射源。本文介绍了胸腔镜手术的适应症和胸腔镜中激光照射的技术。2例自发性气胸经肺热凝治疗无效,3例自发性气胸经激光光凝治疗无效,1例右肺刀伤经激光光凝治疗无效。激光光凝优于非热凝。
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[Endoscopic surgery of pneumothorax].

Thoracoscopy was conducted in 223 patients with spontaneous and traumatic pneumothorax; 26 of them were treated by diathermal coagulation of the lungs, thoracic wall, and bleeding vessels, 34--by laser photocoagulation. Nd-laser with a wave length of 1.06 mcm was used as the source of laser radiation. The indications for thoracoscopy and the techniques of using laser radiation in thoracoscopy are described. Diathermal coagulation of the lung failed to produce an effect in 2 patients with spontaneous pneumothorax, laser photocoagulation was ineffective in 3 patients with spontaneous pneumothorax and in one patient with a knife injury of the right lung. Laser photocoagulation has advantages over diathermal coagulation.

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