观察不同术式治疗复发性气胸的临床效果

Clinical effects of different surgical procedures in the treatment of recurrent pneumothorax

目的探究3种不同术式治疗复发性气胸的临床效果。方法抽取患有复发性的气胸的患者155例,分为A组、B组和C组,其中,A组50例,B组53例,C组52例,A组患者进行腋下小切口手术治疗,B组患者进行电视胸腔镜的手术治疗,C组患者进行标准后外侧切口手术治疗。结果患者手术中和手术后的失血量、疼痛情况,A组与B组比较差异无统计学意义(P>0.05)。C组的出血量多,手术后疼痛情况比A组和B组明显,差异有统计学意义(P<0.05)。结论治疗复发性气胸的患者时,应用腋下小切口手术和电视胸腔镜手术的效果相似,腋下切口术创口小。

Objective To explore the clinical effects of three different operation in the treatment of recurrent pneumothorax. Methods 155 patients with pneumothorax extract were randomly divided into A,B and C groups,50 patients of A group,53 cases of group B,52 cases of group C.Patients of A group treated by limited axillary thoracotomy,patients of B group treated by videoassisted thoracoscope surgery, patients of group C treateh by standard posterolateral incision. Results The blood loss infsurgery and postoperative,pain situation of patients of A and B groups had no significant differences （P 〉 0.05）,the amount of bleeding of group C was the most,the pain condition of group C was clear than group A an group B,had statistical significance （P 〈 0.05）. Conclusion In the treatment of recurrent pneumothorax,the effect is similar between application axilla small incision surgery and video-assisted thoracoscope surgery,and axillary incision surgery has small wounds.