胸腔镜治疗胸外伤的手术方式及有效性研究

The operative method and effectiveness of thoracoscopy in the treatment of thoracic trauma

目的:探讨胸腔镜治疗胸外伤的手术方式及有效性。方法:收治胸外伤患者90例,分为对照组和观察组。对照组采用常规开胸手术治疗,观察组采用胸腔镜治疗,比较两组治疗效果。结果:治疗后,观察组治疗效果、手术完成时间、平均引流时间、术中总出血情况、术后住院时间、SF-36评分和并发症发生率均显著优于对照组(P<0.05)。结论:胸腔镜治疗胸外伤的有效性高,可显著减轻手术创伤,减少出血和缩短引流时间,减少并发症,改善生活质量。

Objective：To explore the operative method and effectiveness of thoracoscopy in the treatment of thoracic trauma.Methods：90 patients with thoracic trauma were selected and they were divided into the control group and the observation group.The control group was treated with routine thoracotomy,and the observation group was treated with thoracoscopy.We compared the therapeutic effect of the two groups.Results：After treatment,in the observation group,the treatment effect,operation completion time,average drainage time,total bleeding during operation postoperative hospitalization time,SF-36 score and complication rate were significantly better than those in the control group（P〈0.05）.Conclusion：Thoracoscopic surgery was effective in the treatment of thoracic trauma.It can significantly reduce operative trauma,reduce bleeding and shorten drainage time,reduce complications and improve quality of life.