摘要
目的探讨单孔胸腔镜治疗自发性气胸患者的临床效果。方法回顾性分析2014年6月～2017年6月我院接诊的80例自发性气胸患者的临床资料,按照治疗方式的不同将其分为单孔胸腔镜组和传统胸腔镜组,每组各40例。单孔胸腔镜组患者采用单孔胸腔镜治疗,传统胸腔镜组患者采用传统胸腔镜治疗,比较两组患者的手术相关指标、术后疼痛情况、并发症发生情况及术后12个月手术侧气胸复发情况。结果两组患者的术中出血量、手术时间、胸管留置时间、术后住院时间、术后12个月手术侧气胸复发率等手术相关指标比较,差异无统计学意义(P>0.05)。单孔胸腔镜组患者术后24、72 h及1周的视觉模拟(VAS)评分均低于传统胸腔镜组,差异有统计学意义(P<0.05)。单孔胸腔镜组术中未增加穿刺孔,无中转开胸或术中、术后大出血等并发症。结论与传统胸腔镜手术相比,单孔胸腔镜的疗效及安全性可靠,能够减轻术后疼痛,临床应用价值高。
Objective To investigate the clinical effect of single port thoracoscopy in the treatment of patients with spontaneous pneumothorax. Methods The clinical data of 80 patients with spontaneous pneumothorax admitted to our hospital from June 2014 to June 2017 were retrospectively analyzed. They were divided into the single port thoracoscopy group and the traditional thoracoscopy group according to different treatment methods, with 40 cases in each group. The single port thoracoscopy group was treated with single port thoracoscopy for spontaneous pneumothorax patients, while the traditional thoracoscopy group was treated with traditional thoracoscopy for spontaneous pneumothorax patients. The operation-related indicators, postoperative pain, complication and recurrence of pneumothorax at 12 months after operation were compared between the two groups. Results There were no significant differences between the two groups in the amount of intraoperative hemorrhage, operation time, duration of thoracic tube indwelling, postoperative hospital stay, postoperative 12 months recurrence rate of pneumothorax on the operative side (P>0.05). The visual analogue scale (VAS) scores at 24, 72 h and 1 week after operation in the single-hole thoracoscopic group were lower than those in the traditional thoracoscopic group, with significant differences (P<0.05). In the single port thoracoscopy group, no puncture hole was added and no complications such as conversion to thoracotomy or massive hemorrhage were found. Conclusion Compared with the traditional thoracoscopic surgery, the single port thoracoscopy has the advantages of reliable efficacy and safety, which can reduce postoperative pain, with high clinical value.
作者
巫旋钦
陈庚
陈中良
WU Xuan-qin;CHEN Geng;CHEN Zhong-liang(West Courtyard, Shenzhen Hospital of Chinese Academy of Sciences (Guangming), Guangdong Province, Shenzhen 518106, China)
出处
《中国当代医药》
2019年第9期51-53,共3页
China Modern Medicine
关键词
单孔胸腔镜
自发性气胸
手术治疗
临床效果
Single port thoracoscopy
Spontaneous pneumothorax
Surgical treatment
Clinical effect
