胸腔镜辅助小切口开胸术与全胸腔镜手术治疗自发性气胸疗效比较

Comparison of the clinical effect between video-assisted minithoracotomy and video-assisted thoracoscopic surgery for spontaneous pneumothorax

目的比较胸腔镜辅助小切口开胸术（VAMT）和全胸腔镜手术（VATS）治疗自发性气胸的疗效。方法对98例分别行VAMT和VATS的自发性气胸患者进行回顾性分析，评价其手术时间、术中出血、术后疼痛评分、术后引流时间、术后住院时间、手术费用、术后并发症与复发率。结果所有患者均治愈，VAMT组手术时间花费少，住院时间较短，费用更小（均P〈0．05）；术中出血量、术后疼痛评分、术后引流放置时间、术后并发症、复发率差异无统计学意义（均P〉0．05）。结论VATM治疗自发性气胸效果与VATS相同，并且手术时间花费少，住院时间较短，费用更小，是一种有效治疗自发性气胸的方法。

Objective To compare the effect of video-assisted minithoracotomy（VAMT） and video-assisted thoracoscopic surgery（VATS） for spontaneous pneumothorax. Methods 98 patiens with spontaneous pneumothorax allocated to VAMT or VATS were selected. The operation time, blood loss during operation, score of postoperative pain, time of postoperative drainage, postoperative hospital stay, surgery cost, rate of complication and recurrence were compared between the two groups. Results All patients were cured. The operation time, postoperative hospital stay and surgery cost were significantly different between VAMT and VATS groups（ all P 〈 0.05 ）. The parameters of two groups were similar in score of postoperative pain, time of post-operative drainage, blood loss during operation, rate of complication and recurrence（ all P 〉 0.05 ）. Conclusion VAMT was as effective as VATS, but the operation time, postoperative hospital stay and surgery cost was significantly better than VATS.