目的:探讨自发性气胸手术指征、手术方法及疗效.方法:回顾性分析2006年2月至2011年2月自发性气胸患者238例,其中首次发作130例,复发气胸108例.14例行开胸手术,35例行胸腔镜辅助小切口,103例行胸腔镜手术.结果:本组患者中86例首发气胸患者行胸腔闭式引流术治疗出院后于观察期内复发来院者23例,复发率26.7％;而手术治疗152例患者出院后随访期内无一例复发.结论:自发性气胸应积极行手术治疗,手术治疗效果可靠;胸腔镜手术为自发性气胸首选方法.%Objective:To investigate operative indication,operative methods and curative effects of spontaneous pneumothorax. Methods:A total of 238 patients with spontaneous pneumothorax were analyzed retrospectively from February 2006 to February 2011, 130 cases were the first spontaneous pneumothorax and 108 cases were recurrent spontaneous pneumothorax. 103 cases were treated with video-assisted thoracoscopic surgery(VATS) and VAMT were used in 35 cases, general thoracotomy were used in 14 cases. Results:86 cases of first Pneumothorax were treated with closed thoracic drainage and recovered ,of whom 23 cases were recurrence after discharged to the hospital in the observation period ,the recurrence rate was 26. 7%. However surgical treatment of 152 patients were no recurrence after discharge from hospital in follow-up period. Conclusion:Spontaneous pneumothorax should be actively treat with surgery,the surgical effect is reliable. Thoracoscopic surgery is the top priority in the selection of treatment.
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