肺大泡破裂致自发性气胸手术治疗的疗效分析

Analysis of Curative Effect of Spontaneous Pneumothorax Operation Caused by the Pulmonary Bullae Rupture

目的探讨肺大泡破裂致自发性气胸的手术指征、手术方法及临床疗效。方法选取该院于2007年1月—2017年12月收治的202例肺大泡破裂致自发性气胸患者,按治疗方式不同分为2组,各组101例,对照组行常规治疗,观察组行常规后外侧开胸术、胸腔镜手术及腋下小切口手术治疗。观察与比较两组住院天数、引流量及术后并发症情况。结果观察组肺复张(94.06%)高于对照组(75.25%)、两组比较差异有统计学意义(χ~2=12.74,P<0.05);并发症(4.95%)、感染率(3.96%)低于对照组(12.87%、14.85%)(χ~2=8.66、17.41,P<0.05)。观察组住院天数[(6.09±1.94)d]及引流量[(796.4±270.1)mL]均少于对照组[(13.01±2.02)d、(1 207.4±140.8)mL](t=6.77、5.15,P<0.05)。结论针对肺大泡破裂致自发性气胸患者,应积极行采取手术治疗,效果可靠,可将胸腔镜手术作为治疗自发性气胸的首选术式。

Objective To study the operative signs, operation method and clinical curative effect of spontaneous pneumothorax operation caused by the pulmonary bullae rupture. Methods 202 cases of patients with spontaneous pneumothorax caused by the pulmonary bullae rupture admitted and treated in our hospital from January 2007 to December2017 were selected and divided into two groups with 101 cases in each, the Length of stay and drainage and postoperative complications of the two groups were observed and compared. Results The incidence rate of recruitment maneuvers in the observation group was higher than that in the control group（94.06% vs 75.25%）, and the difference was obvious（χ^2=12.74, P〈0.05）, and the complication rate and infection rate in the observation group were lower than those in the control group（4.95%, 3.96% vs 12.87%, 14.85%）,（χ^2=8.66, 17.41, P〈0.05）, and the length of stay and drainage volume were lower than those in the control group, [（6.09±1.94）d,（796.4±270.1）mL vs（13.01±2.02）d,（1 207.4±140.8）mL],（t =6.77, 5.15, P〈0.05）. Conclusion The operation in treatment of patients with spontaneous pneumothorax caused by the pulmonary bullae rupture has a reliable effect, which can be used as the first choice in treatment of spontaneous pneumothorax.