摘要
目的探讨电视胸腔镜辅助下小切口(VAMT)治疗自发性气胸的临床效果。方法将84例需手术治疗的自发性气胸患者随机分为观察组和对照组各42例,观察组采用胸腔镜辅助小切口手术治疗自发性气胸,对照组采用常规开胸手术治疗。两组均在直视下行肺大疱结扎或切除及胸膜固定术。观察两组切口长度、出血量、手术时间、引流管拔除时间、住院天数。结果观察组手术均成功,全组无死亡病例,无肺炎、肺不张等并发症。观察组切口长度、手术时间、拔出引流管时间及住院天数均短于对照组,出血量少于对照组,差异均有统计学意义(P<0.05),观察组术后并发症均明显低于对照组,差异均有统计学意义(P<0.05)。结论 VAMT辅助小切口比传统开胸切口行自发性气胸手术治疗创伤小、恢复快,无并发症发生,值得临床推广应用。
Objective To explore the effect of the Video-assisted minithoracotomy used for treatment of spontaneous pneumothorax.Methods Eighty four cases of spontaneous pneumothorax patients in our hospital were randomly divided into the observation group and control group,and there were 42 cases in each group.The observation group was treated by Video-assisted minithoracotomy,while the control group was only received conventional thoracotomy.All the cases were given pulmonary bulla resection and pleurodesis.Incision length,blood loss,operative time,drainage tube removal time and hospitalization time were observed.Results All cases in the observation group were cured,no death,no pneumonia,atelectasis and such complication.The incision length,operative time,drainage tube removal time and hospitalization time of the observation group were respectively shorter than that of the control group,and the bleeding loss of the observation group was less than that of the control group,the complication after operation were lower than control group （P 0.05） and the differences were statistically significant（P 0.05）.Conclusion Video-assisted thoracoscopic treatment of spontaneous pneumothorax with the thoracic surgery compared with the trauma,the advantages of safe and consistent with the principles of minimally invasive,It＇s worth further clinical application.
出处
《中国当代医药》
2012年第13期53-54,共2页
China Modern Medicine
