摘要
目的探讨单孔法与双孔法胸腔镜肺大疱切除术治疗自发性气胸的优劣。方法选择2009年12月~2015年12月在我院治疗的88例自发性气胸合并肺大疱患者,其中单孔法切除48例(单孔组)、双孔法切除40例(双孔组),比较两组围术期情况(手术时间、出血量、引流量、留管时间、住院时间、死亡率、VAS疼痛评分)、并发症发生率、复发率及患者满意率。结果两组手术时间比较,差异无统计学意义(P>0.05)。单孔组的出血量、引流量、留管时间、住院时间、VAS疼痛评分低于双孔组,差异有统计学意义(P<0.05)。两组围术期无死亡病例,在术后12个月内随访中,两组均无复发病例,两组肺部漏气各1例,两组并发症发生率比较,差异无统计学意义(P>0.05),但单孔组患者满意率显著高于双孔组(P<0.05)。结论单孔法与双孔法胸腔镜肺大疱切除术治疗自发性气胸效果相当,症状有效缓解,术后恢复良好,并发症少,但单孔法创伤小、痛苦少、病情恢复更快、患者满意率更高,值得临床推广。
Objective To explore the advantages and disadvantages of single-port method and double-port thoracoscopic pulmonary bulla resection in the treatment of spontaneous pneumothorax.Methods From December 2009 to December2015,88 patients with spontaneous pneumothorax in our hospital were divided into single-port group（treated by singleport resection,n=48） and double-port group（treated by double-port resection,n =40）.Perioperative situation（operation time,blood loss,volume of drainage,drainage indwelling time,length of hospitalization,mortality rate and VAS pain score）,complications rate and recurrence rates,patients′ satisfaction were compared between two groups.Results Operation time between two groups had no statistical differences（P〉0.05）.Blood loss,volume of drainage,drainage indwelling time,length of hospitalization and VAS pain score of the single-port group was lower than that of the double-port group（P〈0.05）.There was no mortality and recurrent patients in two groups,there was 1 case of pulmonary leakage in each group,while the complications rate had no statistically difference（P〉0.05）.But satisfaction rate of the single-port group was significantly higher than that of the double-port group（P 〈0.05）.Conclusion The method of single-port and double-port have the same therapeutic effect and prognosis effect.But the single-port method has smaller trauma,less pain,faster recovery,and higher patients′ satisfaction rate,which is worth to be promoted.
出处
《中国当代医药》
2017年第8期40-42,共3页
China Modern Medicine
