摘要
目的 比较电视胸腔镜（VATS）和传统开胸手术治疗外伤性血气胸的临床效果.方法 血气胸患者41例随机分为实验组和对照组,对照组26例,采用传统开胸手术方法;实验组15例,采用VATS治疗,对两组患者一般临床资料、术中出血量、手术时间、术后胸管放置时间、术后引流量等进行比较.结果 41例患者均无手术死亡、二次开胸止血,术后均未呼吸机辅助呼吸.实验组术中出血量[（176.5 ±78.5） ml]明显少于对照组[（401.3±90.7）ml],手术时间[实验组（64.7±21.3） min,对照组（129.4±30.3） min]、术后胸管放置时间[实验组（2.3±0.9）d,对照组（4.5±1.0）d]、住院时间[实验组（9.1±2.1）d,对照组（12.7±2.2）d]及术后并发症发生率等方面均少于对照组,两组比较差异有统计学意义（P＜0.05）.结论 VATS治疗外伤性血气胸与传统开胸手术比较,诊断快速准确,安全可靠,并发症少.
Objective To compare the clinical effectiveness of video-assisted single port thoracoscope （VATS） and traditional thoracotomy in the treatment of traumatic pneumothorax.Methods Forty-one cases of hemopneumothorax were randomly divided into experimental and control groups.The patients in control group （n =26） were treated with traditional urgical approach,and those in experimental group （n =15） were treated with VATS.The general clinical data,blood loss,operation time,the indwelling time of catheter drainage after the operation,postoperative drainage volume,postoperative complications,and length of hospital were compared between the two groups.Results None of the 41 patiens in the two groups had operative mortality,second thoracotomy for hemostasis or ventilator-assisted breathing.Blood loss in experimental group [average （176.5 ± 78.5） ml] was significantly less than in control group [（401.3 ± 90.7） ml].There were significant difference in the operation time [experimental group：（64.7 ± 21.3） min,and control group：（129.4 ± 30.3） min],the indwelling time of catheter drainage after the operation [experimental group：（2.3 ± 0.9） d,and control group：（4.5 ± 1.0） d],hospital stay [experimental group：（9.1 ±2.1） d,and control group：（12.7 ±2.2） d],and incidence of the postoperative complications between two groups （P 〈 0.05）.Conclusion With approprite indications,VATS can make a faster,more accurate and more reliable diagnosis than traditional thoracotomy for traumatic pneumothorax.
出处
《中华实验外科杂志》
CAS
CSCD
北大核心
2015年第1期182-184,共3页
Chinese Journal of Experimental Surgery
关键词
电视胸腔镜手术
外伤性血气胸
微创
Video-assisted single port thoracoscope
Traumatic pneumothorax
Minimally invasive
