摘要
目的:研究胸腔镜手术对创伤性血气胸患者临床指标的影响。方法:选取2014年1月至2015年3月治疗的92例血气胸患者作为研究对象,按照随机数字表对患者进行编号,随机分为观察组与对照组,每组46例,观察组采用胸腔镜治疗,对照组行开胸手术。对比两组患者一般资料、手术情况、并发症及不同时间段内C反应蛋白(C-reactive protein,CRP)水平。结果:术前及术后第1天,两组患者CRP水平差异无统计学意义(P>0.05);术后第3天、第5天,观察组CRP水平均低于对照组;观察组术后第1天、第3天CRP水平高于术前,第5天低于其他时段;对照组术后第1天、第3天、第5天的CRP水平均高于术前,差异有统计学意义(P<0.05)。两组患者手术时间、术后并发症差异无统计学意义(P>0.05),观察组胸管引流量、引流时间、住院时间均少于对照组,差异有统计学意义(P<0.05)。结论:胸腔镜手术创伤小,痛苦小,术后恢复时间短,且无严重并发症,是安全、有效的术式。
Objective： To study the effect of thoracoscopic surgery on the clinical index of patients with traumatic hemopneumothorax. Methods： A total of 92 patients with hemopneumothorax from Jan. 2014 to Mar. 2015 were selected as the research object,all patients were randomly divided into the experimental group and control group according to the random number table. 46 patients in experimental group underwent thoracoscopic treatment and 46 patients in control group were treated with open surgery,the general information,operation situation,complications and C-reactive protein（ CRP） at different time point were compared between the two groups. Results： Before operation and on the first day after surgery,there was no significant difference between the two groups in the level of CRP（ P 0. 05）,on the third and fifth postoperative day,CRP in the experimental group was lower than that in the control group. In the experimental group,CRP on the first and third postoperative day was higher than that before operation,CRP on the fifth day was less than that at other time point. In the control group on the first,third and fifth day after the operation,the level of CRP was higher than that before surgery（ P 0. 05）. There were no significant differences in the operative time and complications between the two groups（ P 0. 05）,volume and time of chest tube drainage,and the hospital stay of experimental group were less than those of the control group（ P 0. 05）. Conclusions： Thoracoscopic operation has advantages of few trauma,little pain,quick postoperative recovery,is safe and effective without serious complications.
出处
《腹腔镜外科杂志》
2016年第9期666-669,共4页
Journal of Laparoscopic Surgery
关键词
创伤性血气胸
C反应蛋白
胸腔镜检查
Traumatic hemopneumothorax
C-reactive protein
Thoracoscopy
