摘要
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.
出处
《海南医学院学报》
CAS
2012年第12期1771-1773,共3页
Journal of Hainan Medical University
基金
中国高校医学期刊临床专项资金项目(112210448)~~
关键词
自发性气胸
电视胸腔镜手术
临床疗效
Spontaneous pneumothorax
Video-assisted thoracoscopy
Clinical effect