胸腔镜辅助小切口开胸术与全胸腔镜手术治疗自发性气胸的比较

Comparison of thoracic surgery with small incision thoracotomy and total thoracic surgery in the treatment of spontaneous pneumothorax

目的比较胸腔镜辅助小切口开胸术与全胸腔镜手术治疗自发性气胸的临床疗效。方法随机选取2012年3月至2015年12月期间在所在医院接受诊治的61例自发性气胸患者,根据临床手术操作方法进行分组,观察组采用胸腔镜辅助小切口开胸术进行治疗,对照组采用全胸腔镜手术进行辅助治疗,比较2组患者临床手术操作效果。结果观察组手术时间、术中出血量及术后疼痛评分明显低于对照组,2组存在显著差异(P<0.05);2组术后引流时间、术后并发症无统计差异(P>0.05)。结论胸腔镜辅助小切口开胸术与全胸腔镜手术均能够有效治疗自发性气胸,但胸腔镜助小切口开胸术在减少手术时间及术后疼痛中更具优势,可在临床中加以推广。

Objective To compare the clinical effect of small incision thoracotomy and total thoracic surgery in the treat- ment of spontaneous pneumothorax. Method Random selected in 2012 March - December 2015 period in hospital, diagnosis and treatment of 61 cases of spontaneous pneumothorax in patients, according to the clinical operation method of grouping, the observa- tion group with thoracoscope assisted small incision open chest surgery for treatment, control group therapy with video - assisted thoracoscopic surgery, compared with two groups of patients with clinical surgical operation effect. Result The operation time,in- traoperative blood loss and postoperative pain score in the observation group were significantly lower than those in the control group,there were significant differences between the 2 groups （ P 〈 0.05 ）. There was no statistical difference in the drainage time and postoperative complications between the 2 groups （ P 〉 0.05 ）. Conclusion Assisted thoracic small incision thoracotomy with video- assisted thoracoscopic surgery can effectively treat spontaneous pneumothorax, but thoracoscopic help small incision thoracotomy in reducing operation time and postoperative pain has more advantages can be extended and applied in the clinical.