胸腔镜手术与腋下小切口手术治疗自发性气胸的比较

Compare the effect of video-assisted thoracoscopic surgery and limited axillary thoracotomy in treating spontaneous pneumothorax

目的比较胸腔镜手术与腋下小切口手术治疗自发性气胸的疗效。方法2009年1月-2012年8月收治的经手术治疗的自发性气胸患者128例，按手术方式不同分为经胸腔镜手术80例，经腋下小切口手术48例，分别设定为胸腔镜组和小切口组，对两组的手术时间、术中出血量、术后带管时间、术后总引流量、术后疼痛指数、术后住院时间、术后复发率进行比较。结果胸腔镜组与小切口组比较，在手术时间、术后复发率上差异无明显统计学意义（P〉0．05），在术中出血量、术后带管时间、术后总引流量、术后疼痛指数及术后住院时间上胸腔镜组明显优于小切口组（P〈0．05）。结论胸腔镜手术可以作为自发性气胸的首选。

Objective To compare the effect of video-assisted thoracoscopic surgery and limited axillary thoraeotomy in treating spontaneous pneumothorax. Methods 128 spontaneous pneumothorax patients treated by surge~？~ from January 2009 to August 2012 were divided into VATS group （80 patients） and LAT group （48 patients）.The operation time,perioperative bleeding, postoperative drainage time, drainage fluid after operation,postoperative pain seore,postoperation hospitalization duration and the recurrence rates of the two groups were then compared and studied. Results There were no statistical differences in operation time and recurrence rates between VATS group and LAT group（P 〉 0.05）; VATS was much better than LAT in perioperative bleeding, postoperative drainage time,drainage fluid after operation,postoperative pain score,and postoperation hospitalization duration（P 〈 0.05）. Conclusion VATS should be the first choice for treating spontaneous pneumothorax.