胸交感神经干切断术中运用单孔法胸腔镜的临床分析

Clinical analysis of single hole thoracoscope in the application of thoracic sympathetic trunk amputation

目的研究单孔法胸腔镜在胸交感神经干切断术中的应用,以及比较单孔法和二孔法腹腔将的临床治疗效果。方法对我院68例运用胸腔镜对胸交感神经干切断术患者的临床资料进行分析,将其均分为两组,每组为34例患者,一组运用单孔法,另一组运用二孔法,术后对两组患者进行随访,对其术后效果以及出现并发症的几率进行对比分析。结果 68例患者的手术均在胸腔镜下完成,术后对所有患者均进行1～26个月不等的随访,平均时间为12.6个月。进行治疗后,所有患者的临床症状(手部多汗)均痊愈,有效率达到100%,对两组患者的手术所需时间、术中出血量、术后住院时间和术后有效率进行比较,未见明显差异。结论运用单孔法腹腔镜治疗胸交感神经干切断术的临床效果和二孔法的临床效果基本一致。

Objective To study the single hole thoracoscopy in the application of thoracic sympathectomy, and to compare the curative effect between single hole method and two-hole method. Methods The clinical data of 68 patients who were treated with thoracic sympathectomy under thoracoscope were analyzed. Those patients were randomly and evenly divided into two groups. The group A was treated with single hole method, and the group B was treated with two-hole method. Then the curative effect and the incidence of complica- tions were compared between the two groups. Results All patients were followed-up 1 -26 months respectively, and the average duration of follow-up was 12.6 months. After the treatment, the clinical symptoms fo all patients were disappeared, and the total effective rate was 100%. There was no obvious difference of operation time, intraoperative blood loss, postoperative hospital stay and efficiency between the two groups. Conclusion The application of single hole laparoscopy in the treatment of thoracic sympathectomy has the similar clinical curative effect with the two-hole method.