单孔法、双孔法及三孔法胸腔镜手术治疗青年人自发性气胸的对比研究

A comparative study of three-port,double port and uniportal VATS for young people with spontaneous pneumothorax

目的:比较3种胸腔镜手术方法治疗青年人自发性气胸的手术效果。方法:筛选出我院应用胸腔镜治疗的108例青年人自发性气胸,其中42例采用三孔VATS,35例采用双孔VATS,31例采用单孔VATS,比较3种术式的手术时间、术中出血量、术后胸管保留时间、术后住院时间及疼痛程度。结果:三孔组及双孔组手术时间无明显统计学差异(P>0.05),三孔组及双孔组手术时间明显少于单孔组(P<0.05);双孔组及单孔组术后疼痛程度明显轻于三孔组(P<0.05),双孔组及单孔组术后疼痛程度无明显差异(P>0.05);术中出血量、术后胸管保留时间及术后住院时间3组之间无明显统计学差异(P>0.05)。结论:双孔VATS兼有手术时间短及术后疼痛轻的优点,是个值得推广的手术方式。

Objective To compare the operative results of three kinds VATS on the treatment of young people with SP. Methods 108 young SP patients treated with VATS were involved in the research. 42 cases re- ceived three-port, 35 cased double port and 31 cases uniport. Operation period, perioperative blood loss, time of intrathoracic drain tube, postoperative length of stay and postoperative pain were compared. Results No statistical difference was found in terms of operation duration between three-port VATS and double port VATS group （P 〉 0.05）. The postoperative pain in double port VATS and uniportal VATS lighter than uniportal VATS （P 〈 0.05） . No statistical difference was found in terms of postoperative pain between double port VATS and uniport VATS group （P 〉 0.05）. Perioperative blood loss, time of intrathoracic drain tube and postoperative length of stay showed no difference in 3 groups （P 〉 0.05）. Conclusions Double port VATS has both the advantages of shorter operation time and lighter postoperative pain and was worth being popularized.