电视胸腔镜手术治疗自发性气胸的临床研究

Clinical Research of Video-assisted thoracoscopic surgery for spontaneous pneumothorax

目的 探讨电视胸腔镜手术（VATS）在自发性气胸治疗中的临床应用.方法 按治疗方法将118例自发性气胸患者分为VATS组98例（予VATS治疗）和开胸组20例（予开胸手术治疗）进行对照研究,以探讨VATS的临床应用价值.结果 VATS组与开胸组在手术时间、术中出血、术后镇痛时间、术后引流时间、术后引流量、住院时间、并发症方面的差异均有统计学意义（均P＜0.01）.结论 VATS和开胸手术在疗效方面的差异无统计学意义,但VATS在恢复指标方面（包括手术时间、术中出血量、术后疼痛、术后引流、住院时间、并发症）均优于开胸手术,值得临床推广.

Objective To evaluate the application of video-assisted thoracoscopic surgery （VATS） in treatment of spontaneous pneumothorax. Methods One hundred and eighteen patients with spontaneous pneumothorax were treated by VATS （98 cases, VATS group） or thoracotomy （20 cases, control group）. The surgical outcome and recovery indicators were compared between two groups. Results There was no difference in clinical efficacy between VATS and thoracotomy groups （P 〉 0.05）. VATS group was better in recovery indicators than thoracotomy group, there were significant differences in the operation time, blood loss, postoperative analgesia, postoperative drainage time, postoperative drainage, length of hospital stay, complications between two groups （P 〈0.01）. Conclusion VATS has the same clinical efficacy as conventional thoracotomy in treatment of pneumothorax, but has better recovery indicators.