两孔法电视胸腔镜手术治疗自发性气胸的疗效分析

Effects of video-assisted thoracoscopy with two-ports on spontaneous pneumothorax

目的:探讨两孔法电视胸腔镜手术治疗自发性气胸中的临床效果。方法:选择我院接受胸腔镜手术治疗的130例自发性气胸患者,其中68例采用两孔法治疗,62例采用标准三孔法治疗。比较两组患者围手术期指标包括手术时间、术中出血量、伤口长度、术后闭式引流时间、术后VAS疼痛评分、术后住院时间。结果:两组患者在手术时间、术中出血量、术后引流时间及术后住院时间无统计学差异(P>0.05),但两孔法组伤口长度明显短于三孔法组,差异具有统计学意义(P<0.05);两组患者术后24hVAS疼痛评分无明显差异(P>0.05),但术后两孔法组术后72hVAS疼痛评分明显小于三孔法组(P<0.05)。结论:两孔法胸腔镜行自发性气胸手术不增加手术操作难度,且能更有效减轻患者疼痛,减少手术创伤,具有更加微创的优点。

Objective： To investigate the effects of the video-assisted thoracoscopy（VATS） with two-ports on spontaneous pneumothorax.Methods： A total of 130 patients with spontaneous pneumothorax treated with VATS were selected,including 68 cases with the two-ports method,and 62 cases with standard three-ports treatment.The perioperative indicators including operative time,blood loss,incision length,postoperative closed drainage,VAS pain scores,postoperative hospital stay length were compared.Results：There wes no significant difference in operative time,blood loss,postoperative drainage and postoperative hospital stay length（P0.05）,but the incision length of two-ports group was significantly shorter than that in the three-ports group（P0.05）.There was no significant difference in 24h VAS pain score postoperative between the two groups（P0.05）,but the 72h VAS pain score in the two-ports group was significantly less than that in the three-two-ports group（P0.05）.Conclusions： The two-ports VATS is easy to operate.It can reduce pain effectively,reduce the surgical trauma,and it is minimally invasive.