胸腔镜辅助小切口与传统开胸手术治疗胸外伤的疗效对比

目的对比观察胸腔镜辅助小切口与传统开胸手术对于胸外伤的临床治疗效果。方法选择2013年2月至2016年2月于我院接受治疗的64例胸外伤患者，根据随机数字表法分为小切口组与开胸组，每组患者32例。根据分组采取胸腔镜辅助小切口或传统开胸的手术方式。对比两种组患者的手术时间、住院时间、术中出血量、术中输血量及死亡率。结果小切口组患者的手术时间及住院时间明显短于开胸组患者（P〈0．05）。同时小切口组患者的术中出血量及术中输血量也显著少于开胸组患者（P〈0．05）。最终，死亡率也显著低于开胸组患者（P〈0．05）。结论胸腔镜辅助小切口用于胸外伤手术治疗，具有手术伤害小、康复时间短、死亡率低等优势，整体治疗效果明显好于传统开胸手术，因此在临床中值得推广及应用。

Objective to comparative observation of thoracoscope assisted small incision with traditional open heart surgery to the clinical treatment effect of chest trauma. Methods selection in February 2013 to February 2014 in our hospital for treatment of 64 cases of thoracic trauma patients, according to random number table method was divided into small incision with thoracotomy group, 32 cases in each group patients. According to the grouping take thoracoscope assisted small incision or traditional way open thoracic surgery. Comparison of two groups of patients with operation time, hospitalization time, intraoperative blood loss, intraoperative blood transfu- sion and mortality. Results through small incision group operation time and hospital stay in patients with significantly shorter than tho- racotomy group of patients （P〈0. 05）, at the same time, small incision group of patients with intraoperative blood loss and intraopera- tire blood transfusion amount is also significantly less than thoracotomy group of patients （P〈0.05）. In the end, the mortality rate was also significantly lower than thoracotomy group of patients （P〈0.05）. Conclusion thoracoscope assisted small incision for chest trauma surgery, with a small surgical injury, short recovery time and low mortality rate advantage, overall treatment effect is much better to traditional open heart surgery, therefore is worthy of promotion and application in clinical.