VATS、开胸术及单纯胸腔闭式引流治疗血气胸的对比研究

The compared study in treatment of hemopneumothorax with video-assisted thoracoscope surgery,open chest surgery and simple chest closed drainage

目的比较电视胸腔镜手术(VATS)、开胸术以及单纯胸腔闭式引流治疗血气胸的效果。方法选取我院2014年10月~2016年9月血气胸患者130例,按治疗方法分为VATS组50例、开胸手术组40例及单纯胸腔闭式引流组40例,通过对比各组的住院和带管时间以及出血量和痛苦度评价其临床治疗效果。结果与开胸组和引流组相比,VAST组的住院时间、带管时间、出血量(引流组除外)和痛苦度均显著降低,其差异具有统计学意义(P﹤0.01)。VATS组手术显著低于开胸组(P﹤0.01),与开胸组相比,VATS组术后引流量显著降低,差异具有统计学意义(P﹤0.01)。结论 VATS能达到与开胸手术同样的探查和治疗效果及单纯胸腔闭式引流出血少,此外还具备创伤小、手术时间短、痛苦度低的优点。

Objective To compare the video-assisted thoracoscope surgery （video-assisted thoracic surgery, VATS） and thoracotomy and simple chest closed drainage effect for the treatment of hemopneumothorax. Methods From October 2014 and September 2014 hemopneumothorax patients 130 cases were selected in our hospital, which were divided into three groups according to the different treatment, VATS group （n=50）, open chest surgery group （n=40） and simple chest closed drainage treatment group （n=40）, then compare the three groups of hospital stay, with tube time, blood loss and the degree of pain. Results with open thoracic and drainage group, VAST group of tube length of hospital stay, with time, blood loss （except drainage group） and the degree of pain were significantly lower, and the difference is statistically significant （P 〈 0.01）. VATS group is significantly below open thoracic surgery group （P 〈 0.01）, compared with thoracotomy group, VATS group had the traffic significantly reduced, statistically significant difference （P 〈 0.01）, Conclusion VATS can attain with open thoracic surgery detection and treatment of the same effect and simple closed chest drainage less bleeding, moreover also has small trauma, the advantages of shorter operation time, pain degree is low.