摘要
目的对比分析电视胸腔镜手术(VATS)、腋下小切口手术(SAMT)及开胸切口手术(TH)等三种不同手术方式在治疗原发性自发性气胸(PSP)的应用和疗效。方法将我院1995年5月至2005年5月手术治疗PSP625例分为3组:胸腔镜辅助手术组356例,腋下小切口手术组128例和传统剖胸组141例,对各组的手术临床资料进行统计比较和分析。结果术中出血量、术后引流量、术后引流管留置时间、术后离床活动时间、术后度冷丁用量、术后平均住院时间及术后呼吸系统并发症等各项指标统计:VATS组和SAMT组均明显优于TH组(P<0.01),VATS组和SAMT组之间没有明显差异(P>0.05)。手术后呼吸系统并发症总数46例(7.4%),主要并发症均为肺漏气、呼吸道感染、肺不张、低氧血症、呼吸功能衰竭等。TH组术后死亡4例,无术中死亡。结论VATS及SAMT治疗PSP具有创伤小、出血少、恢复快、安全可靠等优点,VATS是治疗PSP的首选方法。
Objective compare the applications and results of video-assisted thoracoscopic surgery（VATS）, subaxillary thoracotomy（SAMT） and thoracotomy（TH） in treating spontaneous pneumothorax（SP）. Methods Between May of 1995 and May 2005, of 625 patients with SP, 356 underwent VATS, 128 did SAMT and 141 did TH. The clinical datum of the groups were analysed and compared. Results The bleeding of in operation, drainage volume of postoperation, the duration of drainage tube, the activate time of leaving bed, the dosage of painkiller, the time of hospitalization and complications of respiratory system were significant in VATS and SAMT than in TH （P〈0.01）, and not significant in VATS than in SAMT （P〉0. 05）.Fortyisix patients had the respiratory complications including prolonged lung air leak, atelectasis, hypoxemia and respiratory failure. Four patients were dead in TH group, and no patient dead in operation. Conclusions VATS and SAMT has many advantages such as minimal invasive ,fewer bleeding, quick recovery and safely dependent. VATS is the first choice for the treating SP.
出处
《国际医药卫生导报》
2006年第4期10-12,共3页
International Medicine and Health Guidance News
关键词
自发性
气胸
胸腔镜手术
腋下小切口
spontaneous pneumothorax video-assisted thoracoscopie surgery subaxillary thoracotomy
