单孔胸腔镜手术与开胸手术治疗外伤性血气胸的比较分析

朱冰; 吴迪

doi:10.13201/j.issn.1009-5918.2018.04.009

单孔胸腔镜手术与开胸手术治疗外伤性血气胸的比较分析

朱冰¹,
吴迪^2, ,

- 1. 湖北省中西医结合医院胸外科(武汉, 430015);
- 2. 华中科技大学同济医学院附属同济医院感染科感染免疫研究所

详细信息

通讯作者: 吴迪, E-mail:woody_1984@163.com

中图分类号: R655.2

收稿日期: 2018-03-21

Comparison between single port video-assisted and open thoracoscopic surgeries for traumatic hemopneumothorax

ZHU Bing¹,
WU Di^2, ,

- 1 Department of Thoracic Surgery, Hubei Provincial Hospital of Integrated Chinese and Western Medicine, Wuhan, 430015, China;
- 2 Department and Institute of Infectious Disease, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology

More Information

Corresponding author: WU Di, E-mail: woody_1984@163.com

Received Date: 21 March 2018

摘要

摘要: 目的: 探讨单孔胸腔镜手术在外伤性血气胸治疗方面的临床应用价值。方法: 回顾性分析2015-10-2017-10期间就诊的外伤性血气胸患者70例, 按手术方法不同分为开胸组 (n=32) 和单孔胸腔镜组 (n=38), 对比两组在手术时间、术中出血量、术后引流时间、术后疼痛评分、住院时间及术后并发症差异。结果: 单孔胸腔镜组在手术时间、术中出血量、术后引流量、术后引流时间、住院时间、术后疼痛评分等指标方面均显著优于开胸组 (P<0.05)。单孔胸腔镜组术后并发症发生率明显低于开胸组 (P<0.05)。结论: 单孔胸腔镜手术治疗外伤性血气胸具有手术创伤小、术后疼痛轻、恢复快等特点, 是值得临床大力推广的诊治手段。
- 单孔胸腔镜手术 /
- 外伤性血气胸 /
- 开胸手术
Abstract: Objective: To observe the clinical effect of Single port video-assisted thoracoscopic surgery (SPVATS) for the treatment of traumatic hemopneumothorax.Method: A retrospective analysis was performed on 70 cases of patients with traumatic hemopneumothorax from October 2015 to October 2017 in our hospital, according to the different surgical methods they were divided into thoracotomy group (n=32) and SPVATS group (n=38), the operation time, intraoperative bleeding volume, postoperative drainage time, postoperative pain score, hospitalization time difference and postoperative complications were evaluated in these two groups.Result: The Single port thoracoscopy group was significantly better than the thoracotomy group (P<0.05) in terms of operation time, bleeding volume, postoperative drainage volume, postoperative drainage time, hospitalization time and postoperative pain score.The incidence of postoperative complications in Single port thoracoscopy group was significantly lower than that in thoracotomy group (P<0.05).Conclusion: With a small surgical trauma, less postoperative pain, quicker recovery, single port thoracoscopic surgery is worthy of clinical promotion of diagnosis and treatment.
- single port video assisted thoracoscopicoperation /
- traumatichemopneumothorax /
- open-chest operation

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