摘要
目的通过对病人术前、术后IL-2、WBC/Hb等指标监测,评价胸腔镜(Video-assisted Tho-racoscopic Surgery,VATS)辅助手术与常规开胸手术的优劣。方法76例胸外伤病人分为两组,其中40例行VATS手术为研究组,而其余36例行常规开胸为对照组,观察病人手术前后IL-2、WBC/Hb的值或比值,比较两种手术方式的优劣。结果病人术后即时、术后第1、2、3天外周血中IL-2的值研究组明显低于对照组(p<0·05);WBC/Hb在术后第3天,研究组明显低于照组。结论胸外伤病人在VATS辅助手术中,能将手术创伤降低,术后炎症迅速减轻,有利病人恢复。
Objective To compare video- assisted thoracoscopic surgery （VATS） with conventional thoraeotomy in the treatment of victims from chest trauma through the results of IL- 2,WBC/Hb which were gathered before and after the operations. Methods From June 2004 to June 2006, 76 victims from chest trauma received opera- tions which included VATS and conventional open chest surgery randomly assigned to two groups （the VATS group, n =40; the control group, n =36）. Serum IL-2 and WBC/Hb were determined respectively before operation, immediately after operation, at 1 day after operation, and at 3 days after operation, followed by repeated measures analysis. Results The levels of IL - 2 did not differ statistically between the two groups before operation, while immedi- ately after operation and at 1 to 3days after operation, VATS group showed lower levels of IL -2 as compared with controls（p 〈0. 05）. While the levels of WBC/Hb did not differ statistically between the two groups before operation and immediately after operation, after operation and at 3 days after operation VATS group showed lower levels of WBC/Hb as compared with controls （p 〈 0. 05）. Conclusion VATS appears less invasive than traditional approach for patients with chest trauma. And it could reduce the levels of inflammation and pain index after operation, be propitious to the candidates.
出处
《现代医院》
2010年第4期58-60,共3页
Modern Hospitals
