원발성 자연 기흉에 대한 2mm 비디오 흉강경 검사

초록

Background: The purpose of this study was to evaluate the diagnostic value of 2mm video thoracoscopy for primary spontaneous pneumothorax. Material and Method: During the period of March to June 1999, we prospectively analyzed 33 consecutive patients suffering from primary spontaneous pneumothorax. 2mm video-assisted thoracoscopy was compared with the operative finding. We observed recurrence during the mean follow-up of 3months. Result: Blebs were present in 24 patient(73%: 24/33). These were treated by 10mm video-assised thoracoscopic stapling. Nine patients with no bleb were treated with pleural drainage. There were no significant differences in the bleb finding. No recurrence occurred during the follow-up period. Conclusion: A 2mm video thoracoscopic examination for primary spontaneous pneumothorax is a useful alternative in deciding the operative indication.

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