经剑突下单孔胸腔镜治疗双侧胸部疾病

Xiphoid single - hole thoraeoscopy in the earlier treatment of bilateral chest diseases

目的应用剑突下单孔胸腔镜治疗同时期发生的双侧胸部疾病。探讨此种手术方法的优缺点。方法36例双侧自发性气胸、双侧肺大泡、双肺小结节、双侧血气胸等病例；随机分为2组，分别应用剑突下单孔胸腔镜及传统胸腔镜同时处理双侧胸部病变。分析术中及术后的各种相关指标。结果2组患者手术均顺利进行。经剑突下单孔胸腔镜治疗组在手术平均时间（74．7±11．5）h、术后胸管留置时间、住院天数、术后疼痛、术后并发症等方面均明显优于对照组（P〈0．05）。结论经剑突下单孔胸腔镜在治疗双侧胸部同时有疾病存在方面，其在手术时间、手术损伤、术后恢复、术后美观等方面均优于传统胸腔镜手术。

Objective To introduce the application of xiphoid single -hole thoracoscopy on both sides of chest diseases at the corresponding period, and explore the advantages and disadvantages. Methods A total of 36 patients wish bilateral chest diseases, including bilateral spontaneous pneumothorax, bilateral lung bullae, lung nodules, bilateral pneumothorax, etc., were selected from September 2014 to March 2015 in our hospital, and randomly divided into two groups, given xiphoid hole thoracoscopy or convention- al thoracoscopy treatment, respectively. Results The operations were carried out smoothly on two groups of eases. Xiphoid single -hole thoracoseopie treatment group was more satisfactory than control group in the average operative time [ （74. 7 ± 11.5 ） h ], postoperative chest tube indwelling time, length of stay, post- operative pain, postoperative complications, etc.. Conclusion For the Xiphoid single - hole thoracoscopy in the treatment of bilateral chest diseases, its operative time, surgical trauma, postoperative recovery, postoperative appearance and other aspects are more satisfactory than conventional thoracic surgery. It is worth promoting in clinical applications.