胸腔镜手术诊治血胸的临床研究

Clinical exploration of video-assisted thoracoscopic operation for hemothorax

目的:总结胸腔镜手术(video-assisted thoracoscopic surgery,VATS)诊治血胸的临床经验。方法:回顾性分析3年来VATS治疗68例血胸患者的临床资料,并与同期的18例开胸术(Thoracotomy,TH)作比较。结果:VATS组手术时间、术后胸腔引流管放置时间和住院时间均明显短于TH组,无并发症发生。结论:合理应用胸腔镜治疗血胸具有创伤小、康复快、并发症少和瘢痕小等优点,大部分血胸手术可由胸腔镜完成,是值得临床推广、安全有效的治疗方法。

Objective：To summarize the clinical experience of video-assisted thoracoscopic surgery（VATS） for hemothorax.Methods：The clinical data of 68 patients with hemothorax undergone video-assisted thoracoscopy and 18 patients undergone thoracotomy（TH） in recent 3 years were analyzed retrospectively.Results：The operative time,the time of drainage tube and the hospitalization were significantly shorter in group VATS than those in group TH.No complication occurred in VATS group.Conclusions：VATS for hemothorax is with the advantages of minimal invasion,quicker recovery,fewer complications and tiny scar.Most of traditional hemothorax can be diagnosed and treated by VATS.It is a safe and effective method,and worth being promoted clinically.