电视胸腔镜在胸外伤中的应用

The Application of Video-assisted Thoracoscopy in Thoracic Trauma

目的:对比电视胸腔镜手术与传统开胸手术在胸外伤治疗中的效果。方法:将我院2006年2月至2012年2月间收治的胸外伤患者113例随机分为观察组56例及对照组57例,分别应用电视胸腔镜手术和传统开胸手术,比较两组的手术时间、术中出血量、术后引流量、术后引流时间、术后住院时间、术后并发症、术后疼痛的差异。结果:观察组的术中出血量、术后引流量、术后引流时间、术后住院时间、术后并发症的发生率、术后疼痛均明显较少于对照组(P<0.05);两组手术时间比较无显著性差异(P>0.05)。结论:在严格掌握指证前提下,电视胸腔镜手术治疗胸外伤比传统开胸手术的创伤小、并发症少、恢复较快。

Objective： To compare the effect of video-assisted thoracoscopic surgery and conventional thoracotomy in the treatment of thoracic trauma. Method： 113 patients with thoracic trauma were randomly divided into observation group （n=56） accepted video-assisted thoracoscopic surgery and control group （n=57） accepted traditional thoracotomy from Feb.2006 to Feb. 2012., selected and two groups： an of 56 cases （application of） and a of 57 cases （application of）. The operative time, intraoperative blood loss,the amount of postoperative drainage, postoperative drainage time, postoperative hospitalization time,postoperative complications and postoperative pain were compared between the two groups. Results： The amount of intraoperative blood loss, postoperative drainage, postoperative drainage time, postoperative hospitalization time, postoperative complications and postoperative pain in observation group were significantly less than those in the control group （all P 〈 0.05）. The operation time was not significant ly different between the two groups （P 〉 0.05）. Conclusion： Through rigorously grasp the indications in the treatment of thoracic trauma, video-assisted thoracoscopic surgery have smaller trauma and less complications and faster recovery than conventional thoraeotomy.