胸腔镜辅助小切口手术治疗肺大疱合并自发性气胸的疗效分析

Analysis of Curative Effect of Small Incision in the Treatment of Pulmonary Bullae with Spontaneous Pneumothorax Assisted Thoracoscopic

目的分析胸腔镜辅助小切口(VAMT)手术治疗肺大疱合并自发性气胸的临床疗效。方法选取该院2013年10月—2015年10月收治的88例肺大疱合并自发性气胸患者,随机分为两组,各44例。观察组采取VAMT手术治疗,对照组行传统开胸手术,比较两组疗效。结果观察组患者手术时间、出血量、引流量、引流管拔出时间及住院时间均短于或少于对照组(P<0.01);并发症总发生率为4.55%,较对照组的18.18%显著下降,差异均有统计学意义(P<0.05)。结论 VAMT手术治疗肺大疱合并自发性气胸结合了微创手术与传统手术的优点,效果显著。

Objective To analyze the thoracoscope assisted small incision （VAMT） surgical treatment of pulmonary bullae with clinical curative effect of spontaneous pneumothorax. Methods in our hospital October 2013 to October 2015 were 88 cases of pulmonary bullae with spontaneous pneumothorax patients, were randomly assigned to two groups, 44 cases in each. The observation group was treated with VAMT operation, and the control group was treated with traditional open chest surgery. The curative effect of the two groups was compared. Results in the observation group, operation time, amount of bleeding, drainage, drainage tube pulled out of time and hospitalization time were shorter than or less than that of the control group （P〈 0.01）. The overall complication rate was 4.55%, compared with the control group of 18.18% decreased significantly （P 〈 0.05）. Conclusion VAMT surgical treatment of pulmonary bullae with spontaneous pneumothorax combined the advantages of minimally invasive surgery and traditional surgery, significant effect.