电视胸腔镜与小切口手术治疗自发性气胸疗效比较

Video-Assisted Thoracoscopic Surgery versus Minithoracotomy in Treatment of Spontaneous Pneumothorax

目的:比较电视胸腔镜与小切口手术治疗自发性气胸的疗效。方法:选择2013年1月至2015年1月在我院进行治疗的100例自发性气胸患者为研究对象,将患者随机分为观察组和对照组,每组各50例。观察组采用电视胸腔镜治疗,对照组采用小切口手术方式治疗,比较2组手术时间、术中出血量以及并发症率、术后引流量等情况。结果:2组手术时间、术中出血量以及并发症率比较无显著性差异(P>0.05),术后引流量、术后住院天数观察组少于对照组(P<0.05),医疗费用观察组显著高于对照组(P<0.05)。结论:与小切口手术相比,采用电视胸腔镜治疗自发性气胸的疗效相当,并且手术视野好,但费用较高;小切口手术则具有操作简单、费用低的优点,但探查显露程度较低。

Objective： To analyze and compare the curative effect between video-assisted thoracoscopic surgery and minithoracotomy in the treatment of spontaneous pneumothorax. Methods： 100 patients with spontaneous pneumothorax treated in our hospital from January 2013 to January 2015 were randomly divided into observation group（ 50 cases） and control group（ 50cases）. The observation group underwent video-assisted thoracoscopic surgery; the control group was treated by minithoracotomy.Operation time,intraoperative blood loss,incidences of complications and postoperative drainage flow in the two groups were observed and analyzed. Results： The operation time, intraoperative blood loss and incidences of complications were not statistically different between the two groups. Nevertheless,the postoperative drainage flow and hospitalization days of the observation group were significantly better than those of the control group; medical expense of the observation group was significantly higher than that of the control group（ P〈0. 05）. Conclusion： Video-assisted thoracoscopic surgery for spontaneous pneumothorax is as effective as minithoracotomy; its operation field is good,but the expense is relatively higher. Minithoracotomy has the advantages of easy operation and lower cost,but the exposure of operation field is less.