Journal of Experimental and Clinical SurgeryJournal of Experimental and Clinical SurgeryВестник экспериментальной и клинической хирургии2070-478X2409-143XVoronezh State Medical University named after N.N. Burdenko32710.18499/2070-478X-2009-2-2-101-107Original articlesОригинальные статьиUnknownSurgical tactics of treatment of patients with the spontaneous pheumothoraxХирургическая тактика лечения больных со спонтанным пневмотораксомAфендуловС.А.

доктор медицинских наук, профессор кафедры хирургии ИПМО Воронежской государственной медицинской академии им. Н.Н.Бурденко.

0764@mail.ruMoщинС.А.

врач-хирург Липецкой областной клинической больницы.

mike3009@yandex.ruVoronezh State Medical Academy Burdenko Lipetsk Regional HospitalВоронежская государственная медицинская академия им. Н.Н.Бурденко Липецкая областная клиническая больница24062009221011073004201630042016Copyright ©; 2009, Voronezh N.N. Burdenko State Medical UniversityCopyright ©; 2009, ФГБОУ ВО ВГМУ им. Н.Н. Бурденко Минздрава России2009Voronezh N.N. Burdenko State Medical UniversityФГБОУ ВО ВГМУ им. Н.Н. Бурденко Минздрава Россииhttps://vestnik-surgery.com/journal/about/editorialPolicieshttps://vestnik-surgery.com/journal/article/view/327

The results of treatment of 230 patients with spontaneous pheumothorax were analyzed. The comparative estimation of efficiency of various methods of treatment of the specified pathology is spent; the algorithm of conducting patients with small, average and big spontaneous pheumothorax is developed. Indications to videothoracoscopic interventions are defined. Application of the developed algorithm has allowed to reduce number of complications by 10%, quantity of relapses on 5,5%; to reduce terms of full rehabilitation on 5,6±1,0 days.

Анализированы результаты лечения 230 больных со спонтанным пневмотораксом. Проведена сравнительная оцен- ка эффективности различных методов лечения указанной патологии; разработан алгоритм ведения пациентов с малым, средним и большим спонтанным пневмотораксом. Определены показания к видеоторакоскопическим вме- шательствам. Применение разработанного алгоритма позволило уменьшить число осложнений на 10%, количество рецидивов на 5,5%; сократить сроки полной реабилитации на 5,6±1,0 суток.

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