电视胸腔镜术治疗自发性气胸效果观察

Effect observation of video-assisted thoracic surgery in the treatment of spontaneous pneumothorax

目的观察电视胸腔镜术治疗自发性气胸的临床效果。方法自发性气胸患者76例随机分为观察组和对照组各38例。观察组采用电视胸腔镜手术治疗,对照组采用常规开胸手术治疗。观察2组切口长度、出血量、手术时间、引流管拔除时间、住院天数及复发率等情况。结果观察组切口长度、手术时间、拔出引流管时间及住院天数均短于对照组,出血量少于对照组,差异均有统计学意义(P<0.05)。2组复发率比较差异无统计学意义(P>0.05)。结论胸腔镜治疗自发性气胸安全有效。

Objective To observe the clinical efficacy of video-assisted thoracic surgery（VATS） in the treatment of spontaneous pneumothorax.Methods 76 patients with spontaneous pneumothorax were randomly divided into observation group and control group,38 case of each.The observation group was treated with VATS,and the control group only received conventional thoracotomy.Incision length,blood loss,operative time,drainage tube removal time,hospitalization time and recurrence rate of 2 groups were observed.Results The incision length,operative time,drainage tube removal time and hospitalization time of the observation group were respectively shorter than that of the control group,and the bleeding loss of the observation group was less than that of the control group,and the differences were statistically significant（P0.05）.There was no significant difference in recurrence rate between the 2 groups（P0.05）.Conclusion Thoracoscope in the treatment of spontaneous pneumothorax is safe and effective.