电视胸腔镜手术与开胸手术治疗创伤性血气胸的疗效分析

黄小军，马医农，任宏远

（西安市北方医院神经胸外科，陕西 西安，710043）

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摘要：

目的 观察对比电视胸腔镜手术（VATS）与开胸手术治疗创伤性血气胸的临床疗效。方法 将我院收治的60例创伤性血 气胸患者随机分为VATS组和对照组，每组30例，分别经VATS及开胸手术治疗后，观察两组患者的手术相关指标。结果 治疗后，VATS组手术时间、术中出血量、胸腔引流量、胸管滞留时间、止痛药使用量、住院时间、CRP水平均优于对照组，差异有统计学意义（P<0.05）；对照组并发症总发生率为16.67%，明显高于VATS组的6.67%，差异有统计学意义（P<0.05）；60例患者中无死亡病例。结论 VATS和开胸手术治疗创伤性血气胸均有较好疗效，但VATS的治疗效果更为显著。

关键词：电视胸腔镜手术；开胸手术；血气胸

中图分类号：R655.3文献标志码：A文章编号：2096-1413(2017)11-0055-02

Analysis of therapeutic efficacy between video-assisted thoracoscopic surgery and thoracotomy in the treatment of traumatic hemopneumothorax
HUANG Xiao-jun, MA Yi-nong, REN Hong-yuan
(Department of Thoracic Surgery, Xi'an North Hospital, Xi'an 710043, China)

ABSTRACT: Objective To observe and analyze the therapeutic efficacy between video -assisted thoracoscopic surgery (VATS) and thoracotomy in the treatment of traumatic hemopneumothorax. Methods Sixty cases of patients with traumatic hemopneumothorax in our hospital were randomly divided into VATS group and control group, with 30 cases in each group. They were treated with VATS and traumatic hemopneumothorax respectively, and then the operation related indicators of the two groups were observed. Results After treatment, the operation time, intraoperative blood loss, pleural drainage, chest drain tube retention time, dosage of painkiller, hospital stay and CRP levels of the VATS group were superior to those of the control group, the difference was statistically significant (P<0.05). The incidence of complications of the control group was 16.67%, which was significantly higher than 6.67% of the VATS group, the difference was statistically significant (P<0.05). There was no death in 60 patients. Conclusion VATS and thoracotomy both have good curative effect in the treatment of traumatic hemopneumothorax, but the VATS treatment effect is more significant.
KEYWORDS: video-assisted thoracoscopic surgery; thoracotomy; hemopneumothorax

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