单孔胸腔镜手术联合中心静脉导管引流与单操作孔胸腔镜手术治疗自发性气胸的对比分析

Comparative analysis between uniportal VATS combined with central venous catheter for thoracic drainage and single utility port VATS for spontaneous pneumothorax

目的探讨自发性气胸采用单孔胸腔镜手术联合中心静脉导管引流与单操作孔胸腔镜手术治疗的效果。方法回顾性分析66例于2016年1月至2016年8月期间我院施行单孔胸腔镜联合中心静脉导管引流或单操作孔胸腔镜手术治疗原发性自发性气胸的患者,分为单孔导引组(n=21)和单操作孔组(n=45),观察两组治疗效果。结果单孔导引组术后胸管留置时间、术后疼痛与单操作孔组比较有明显差异性(P<0.05);两组术中出血量、手术时间和术后复发率比较无明显差异(P>0.05)。结论两种手术方式均安全、有效。单孔胸腔镜手术联合中心静脉导管引流治疗自发性气胸法创伤小、疼痛轻。

Objective To evaluate the efficacy of uniportal VATS combined with central venous catheter for thoracic drainage and single utility port VATS for spontaneous pneumothorax. Methods Between January 2016 and August 2016,a total of 66 patients with spontaneous pneumothorax who underwent uniportal VATS combined with central venous catheter for thoracic drainage or single utility port VATS were retrospectively reviewed. The 21 patients who underwent uniportal VATS combined with central venous catheter for thoracic drainage were assigned to uniportal group,and the other 45 patients who underwent single utility port VATS served as single utility port group. The surgical results and complications of two groups were compared. Results The average chest tube drainage time and the degree of pain in the uniportal group were obvious less than that in the single utility port group（P〈0.05）.There was no signifeant difference in the meam intraoperative blood loss,the mean operative time and postoperative recurrence between the two groups（P〈0.05）. Conclusion These two operation methods were safe and effective. Uniportal VATS combined with central venous catheter for thoracic drainage is less invasive and painful in the treatment of spontaneous pneumothorax,and deserve to be used widely.