摘要
目的 对电视胸腔镜手术（VATS）和传统开胸手术治疗自发性气胸的效果进行对比分析.方法 选取2010年1月～2011年1月冀中能源邢台矿业集团有限责任公司总医院治疗的自发性气胸患者80例,随机分为观察组（VATS手术）和对照组（传统开胸手术）,每组各40例.比较两组患者术中出血量、手术时间、术后下床时间、住院时间及并发症情况,并随访5～30个月,观察术后复发情况.结果 ①观察组40例患者全部治愈,无死亡病例.观察组患者术中出血量[（61.8±9.3）mL]明显少于对照组[（90.2±15.8）mL],观察组患者手术时间[（71.1±12.8）min]明显短于对照组[（83.9±13.7）min],观察组患者术后下床时间及住院时间分别为（23.1±7.3）h、（6.8±1.2）d,均明显短于对照组[（46.9±10.7）h、（9.5±2.8）d],组间比较差异均有统计学意义（P＜0.05）.②观察组并发症发生率为5％,明显少于对照组的20％,差异有统计学意义（P＜0.05）.所有患者随访5～30个月,VATS组术后无复发病例,对照组术后复发3例,均经再次手术治愈.结论 与传统开胸手术比较,VATS治疗自发性气胸具有创伤小、手术时间短、并发症少、患者术后恢复快、住院时间短等优势,值得广泛推广和应用.
Objective To explore the efficacy of video-assisted thoracoscopic surgery （VATS） and conventional thoracotomy for spontaneous pneumothorax.Methods 80 patients with spontaneous pneumothorax in General Hospital of Jizhong Energy Xingtai Mining Group Co.,Ltd.from January 2010 to January 2011 were selected and randomly divided into observation group （treated with VATS） and control group （treated with conventional thoracotomy） with 40 cases in each group.The blood loss,operation time,postoperative ambulation time,hospitalization time and complications were compared between two groups;postoperative recurrence was observed with following-up visit for 5-30 months.Results ①All the 40 patients were cured,no death case was found.The blood loss of observation group [（61.8±9.3） mL] was lower than that of control group [（90.2±15.8） mL],the operation time of observation group [（71.1 ±12.8） min] was shorter than that of control group [（83.9 ±13.7） min],postoperative ambulation time,hospitalization time of observation group [（23.1±7.3） h,（6.8±1.2） d] were shorter than those of control group [（46.9±10.7） h,（9.5±2.8） d],the differences were statistically significant （P ＜ 0.05）.②The complication rate of observation group was 5％,it was less than that of control group （20％）,the difference was statistically significant （P ＜ 0.05）.All patients were followed up for 5-30 months,no recurrence was found in observation group.3 cases with recurrence were found in control group and cured after reoperation.Conclusion Comparison with conventional thoracotomy,VATS hasless trauma,shorter operative time,fewer complications,faster postoperative recovery,shorter hospital stay and other advantages for spontaneous pneumothorax,and it is worthy of promotion and application.
出处
《中国医药导报》
CAS
2013年第33期84-86,共3页
China Medical Herald
