探讨胸腔镜手术治疗凝固性血胸的临床疗效

To Investigate the Clinical Effect of Thoracoscopic Operation in the Treatment of Coagulated Hemothorax

目的探讨胸腔镜手术治疗凝固性血胸的临床疗效。方法选取2009年1月~2014年12月我院接受治疗的凝固性血胸患者60例,将患者随机分为观察组与对照组,每组患者30例。其中对照组患者以开胸术进行治疗,观察组患者以胸腔镜手术进行治疗,对比两组患者的治疗效果。结果观察组患者治疗效果优于对照组,两组患者在手术时间、术中出血量、术后住院时间、引流管留置时间与并发症发生率上比较差异均具有统计学意义（P〈0.05）。结论胸腔镜手术治疗凝固性血胸具有较好的临床效果,可改善患者预后,减轻对患者造成的伤害。

Objective To evaluate the clinical efficacy of thoracoscopic surgery for blood coagulation chest. Methods From January 2009 to December 2014 in our hospital,coagulation of blood patients with thoracic 60 cases were treated,the patients were randomly divided into two groups and the control group,30 patients in each group. Wherein the control group were treated with thoracotomy,observed in patients treated with thoracoscopic surgery,compared to the therapeutic effect of two groups of patients. Results The patients better than the control group,two groups in operative time,blood loss,postoperative hospital stay,drainage tube indwelling time difference and the incidence of complications were statistically significant（P〈0.05）. Conclusion Thoracoscopic surgery coagulated hemothorax have better clinical effect,can improve the prognosis of patients and reduce the harm to the patient.