传统开胸术与胸腔镜辅助小切口治疗胸外伤的疗效对比

Comparative efficacy of traditional thoracotomy and thoracoscopy assisted small incision in the treatment of chest trauma

目的对比分析传统开胸术与胸腔镜辅助小切口治疗胸外伤的疗效,从而为胸外伤的治疗方法的选择提供进一步的指导依据。方法选择2008年1月～2010年1月在我院应用电视胸腔镜辅助小切口手术治疗的32例胸外伤患者设立为观察组,另选择同期应用开胸手术治疗的30例胸外伤患者作为对照组,对比分析两组的手术时间、术中出血量、术后住院时间及病死率等。结果观察组的手术用时短,术中出血少,术中输血少,住院时间短,术后无1例死亡,病死率明显低于开胸组,两组比较,差异有统计学意义,P<0.05。结论胸腔镜辅助小切口治疗胸外伤安全、创伤小、并发症少,疗效明显优于开胸手术。

Objective To compare the analysis of the efficacy of traditional thoracotomy and assisted thoracic small incision in the treatment of chest trauma,and thus provide further basis for guiding the choice of treatment of chest trauma.Methods From January 2008 to January 2010 in 32 cases of small incision surgery in our hospital VATS patients with chest trauma and the establishment of the observation group,and another 30 cases of thoracic trauma patients choose treatment application thoracotomy during the same period as a control group,the comparative analysis of the two groups in operative time,blood loss,postoperative hospital stay and mortality.Results The surgical observation group is short,less bleeding,less intraoperative blood transfusion,shorter hospital stay,with no postoperative deaths,the mortality rate was significantly lower than the thoracotomy group,the two groups,the difference was significant,P0.05.Conclusion The assisted thoracic small incision in the treatment of chest trauma and safety,less invasive,fewer complications,significantly better than thoracotomy.