摘要
目的探讨腋下小切口电视胸腔镜手术联合高渗葡萄糖胸膜粘连术治疗自发性气胸的方法和疗效。方法将2008年6月～2012年1月来我院采用腋下小切口、电视胸腔镜辅助、肺大泡切除联合高渗葡萄糖胸膜粘连术治疗的62例患者设立为观察组,其余62例患者同期行腋下小切口电视胸腔镜手术联合滑石粉治疗的患者设立为对照组,比较两组的组手术时间、术中出血量、住院时间、并发症、复发情况。结果观察组与对照组的手术时间、术中出血量、住院时间比较,差异无统计学意义(P>0.05)。观察组并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。对照组术后3个月复发1例,术后2年复发2例,对照组的复发率(4.84%)明显高于观察组(0),差异有统计学意义(P<0.05)。结论腋下小切口电视胸腔镜手术联合高渗葡萄糖胸膜粘连术治疗自发性气胸对于自发性气胸的复发是一种有效的治疗方法,具有并发症少,复发率低等优点,值得推广和应用。
Objective To study the curative effect and methods of Subaxillary small incision video-assisted thoracoscope surgery combined with hypertonic glucose pleural adhesions for the treatment of spontaneous pneumothorax. Methods From June 2008 to January 2008 in our hospital 62 patients of spontaneous pneumothorax adopted the underarm small incision,video-assisted thoracoscope, pulmonary bullae resection combined with hypertonic glucose pleural adhesions were established as treatment group,in the same period 62 patients of subaxillary small incision video-assisted thoracoscope surgery combined therapy with talcum powder were established as control group,operation time,intraoperative blood loss,hospital stay,complications recurrence of two groups were compared. Results The operation time,intraoperative blood loss,hospital stay of two groups had no significant difference （P ~ 0.05）. The complication rates of observation group was significantly lower than the control group,with significant difference（P 〈 0.05）.After 3 months postoperative recurrence of control group in 1 case,postoperative recurrence in 2 cases after 2 year,recurrence rate （4.84%） of control group was obviously higher than that of observation group （0）,with significant difference（P 〈 0.05）. Conclusion Subaxillary small incision video-assisted thoracoscope surgery combined with hypertonic glucose pleural adhesions for the treatment of spontaneous pneumothorax is an effective treatment method,with fewer complications and lower recurrence rate,worthy of promotion and application.
出处
《中国医药科学》
2013年第9期181-182,192,共3页
China Medicine And Pharmacy
关键词
自发性气胸
高渗葡萄糖
并发症
复发率
Spontaneous pneumothorax
Hypertonic glucose
Complications
Recurrence rate
