胸腔镜手术和开胸手术在胸外伤治疗中的对比研究

Comparative Study of VATS and Thoracotomy in Thoracic Trauma Treatment

目的:分析电视胸腔镜手术在胸外伤治疗中的可行性及优越性。方法:选取54例经电视胸腔镜手术治疗的胸外伤患者作为观察组,并对同期52例开胸手术治疗胸外伤的患者进行对照研究,对两组患者临床资料进行单因素分析。结果:观察组手术切口长度、术后第3天VAS评分、术后住院时间、输血量、引流量、引流时间、术后第7天FEV1、术后并发症均短于对照组,差异有统计学意义(P<0.05)。结论:电视胸腔镜手术创伤小、术后疼痛轻、并发症少、住院时间短,可使患者所承受的手术打击轻、痛苦轻、并发症少、恢复快、疗效佳、切口美观,能明显减轻因开胸手术带来的第二次创伤,值得推广。

Objective： To analyze the feasibility and superiority selection by video-assisted thoracoscope surgery in the treatment of chest trauma. Method ： 54 cases of chest trauma patients treated by video-assisted thoracoscope surgery were selected as observation group, and 52 cases of chest trauma patients treated by thoracotomy surgery in the same period were selected as control group, the single factor analysis was carried out on the clinical data of two group patients.Result： The observation group was shorter than the thoracotomy group in the length of incision, postoperative VAS score on the third day, postoperative hospital stay, blood transfusion amount, flow and drainage time, postoperative FEV1 on the seventh day and postoperative complications.the difference was statistically significant, the differences were statistically significant（P〈0.05）.Conclusion： Video-assisted thoracoscope surgery have small trauma, less postoperative pain, complications, and shorter hospitalization time, can make the light on the patients with surgical strike, light pain, fewer complications, rapid recovery, good curative effect, beautiful incision, and can significantly reduce second trauma due to open thoracic surgery, is worth promoting.