胸腔镜辅助小切口治疗外伤性血气胸的临床疗效分析

Clinical Efficacy of Video-assisted Minithoracotomy in the Treatment of Traumatic Hemopneumothorax

目的探讨胸腔镜辅助小切口(video-assisted minithoracotomy,VAMT)治疗外伤性血气胸的临床疗效及优点.方法选凉山州第一人民医院2011年1月到2014年6月外伤性血气胸需手术治疗的患者60例.其中实验组30例,行VAMT治疗.对照组30例,行传统后外侧切口治疗.观察2组患者的手术时间、术中失血量、手术切口长度、术后胸管引流量、留置胸管时间、住院天数及住院费用等.结果 2组患者年龄、体重、性别无差异(P>0.05);实验组在手术时间、术中失血量、手术切口长度、术后胸管引流量、留置胸管时间、住院天数及住院费用等方面优于对照组,差异有统计学意义(P<0.05).结论 VAMT治疗外伤性血气胸具有手术时间短,出血少,创伤小,住院时间短,费用低等优势,适合在基层医院开展.

Objective To observe the clinical effect and advantages of video-assisted minithoracotomy in the treatment of traumatic hemopneumothorax.Methods 60 cases of traumatic hemopneumothorax were selected,who received operation treatment in our hospital from january 2011 to june 2014.The experimental group was 30 cases,treated by video-assisted minithoracotomy.The control group was 30 cases,treated by the traditional standard posterolateral thoracotomy.The operation time,bleeding volume,operation incision length,postoperative pleural drainage,chest tube pulling time,hospital stays and hospital fees were compared between two groups.Results There was no significant difference in age,body weight,and sex between two groups of patients （P＞0.05）.The operation time,bleeding volume,operation incision length,postoperative pleural drainage,chest tube pulling time,hospital stays,hospital fees in the experimental group was better than those in the control group （P＜0.05）.Conclusion Video-assisted minithoracotomy in the treatment of traumatic hemopneumothorax has the advantages of short operatin time,less bleeding,little trauma,short stay lengths,low hospital fees,so it has a good value in basic-level hospitals.