单操作孔电视胸腔镜在治疗自发性气胸中的应用价值

The clinical application value of single utility hole video-assisted thoracoscopic operation in the treatment of spontaneous pneumothorax

目的：探讨单操作孔电视胸腔镜治疗自发性气胸的临床应用价值。方法：对33例自发性气胸患者（观察组）使用单操作孔电视胸腔镜手术，并选取同期采用三孔胸腔镜的自发性气胸患者23例（对照组），对比2组的手术时间、术中出血量、手术费用、术后胸管拔除时间、术后并发症等。结果：观察组术中出血量和手术费用均少于对照组（P〈0.05）；2组手术时间、术后胸管拔管时间、术后并发症及住院时间差异均无统计学意义（P〉0.05-P=1.000）。结论：单操作孔电视胸腔镜能够顺利完成不需要复杂操作的胸腔镜手术，没有增加手术时间，符合微创的理念，值得在微创胸腔外科中推广。

Objective：To investigate the clinical application value of single utility hole video-assisted thoracoscopic operation in the treatment of spontaneous pneumothorax. Methods：Fifty-five patients with spontaneous pneumothorax were treated with single utility hole video-assisted thoracoscopic operation （ observation group, 33 cases ） and three utility holes video-assisted thoracoscopic operation （control group,23 cases）,respectively. The operation time,bleeding volume,operation cost,and postoperative extubation time and complications between two groups were compared. Results：The bleeding volume and operation cost of observation group were lower than the control group（P〈0. 05）,the differences of the operation time,postoperative extubation time and complications between two groups were not statistically significant（P〉0. 05 to P=1. 000）. Conclusions：The single utility hole video-assisted thoracoscopic operation is single,and do not increase the operation time, which is consistent with the concept of minimally invasive, and worth promoting in minimally invasive thoracic surgery.