摘要
目的探讨电视胸腔镜手术在创伤性血气胸的诊治价值及其安全性研究。方法将124例创伤性血气胸患者随机分为2组,每组62例。观察组患者采用电视胸腔镜手术治疗,对照组患者进行常规开胸手术治疗,观察2组患者疗效及不良反应。结果与对照组比较,观察组患者的手术时间、术中出血量、输血量、住院时间、术后的胸腔引流管放置时间、胸腔引流量显著降低,体质量和卡氏评分显著提高。结论与传统的开胸手术相比,电视胸腔镜手术在治疗创伤性血气胸具有创伤小、恢复快、安全微创等特点,能明显提高患者生存率,具有较好的临床应用价值。
Objective To explore diagnosis value and safety of video- assisted thoracoscopic operation in treating traumatic hemopneumothorax. Methods 124 patients with traumatic hemop- neumothorax were randomly divided into 2 groups, 62 cases in each group. The observation group received video- assisted thoracoscopic operation treatment, while the control received conventional thoracotomy. The curative effect and postoperative adverse reaction were observed in 2 groups. Re- sults Compared with the control group, the indices of the operation time, intraoperative bleeding, blood transfusion, duration of hospitalization, catheterization time of chest tube after placement and pleural drainage in observation group were significantly lower. The body mass and Karnofsky scores improved significantly. Conclusion Compared with conventional thoracotomy, video- assisted tho- racoseopic operation in the treatment of traumatic hemopneumothorax has the advantages of less trauma, quick recovery, safe and minimally invasive, which can obviously improve the survival rate of patients, so it has a good value in clinical application .
出处
《实用临床医药杂志》
CAS
2012年第23期69-71,共3页
Journal of Clinical Medicine in Practice
基金
中国高校医学期刊临床专项资金(11220232)
关键词
电视胸腔镜手术
创伤性血气胸
开胸手术
video-assisted thoracoscopic operation
traumatic hemopneumothorax
tho- raeotomy
