胸腔镜下微创治疗胸椎结核的临床分析

Clinical Analysis of Thoracoscopic Minimally Invasive Treatment of Thoracic Tuberculosis

目的探究胸腔镜下微创治疗胸椎结核的临床效果。方法选取本院2016年8月~2017年8月收治的68例胸椎结核患者作为探究对象,随机分配为两组,即对照组与观察组,两组患者的治疗方案分别为传统开放前路手术、胸腔镜微创手术。观察两组患者术后疗效及胸背疼痛程度,另外还需对两组患者手术基本情况做记录。结果经手术治疗后,观察组患者治疗总有效率显著优于对照组患者,VAS评分下降程度大于对照组患者,手术时间、住院时间短于对照组患者,且术中出血量少于对照组患者,以上数据经过比较,组间差异显著均存在统计学意义(P<0.05)。结论应用胸腔镜微创手术治疗胸椎结核患者,对患者伤害较小且可有效缓解患者胸背痛的症状,是个安全性较高的治疗方案。

Objective To investigate the clinical effect of thoracoscopic minimally invasive treatment of thoracic tuberculosis. Methods Sixty-eight patients with thoracic tuberculosis admitted to our hospital from August 2016 to August 2017 were randomly divided into control group and observation group. Patients in control group were treated with traditional open anterior surgery,while patients in observation group received thoracoscope minimally invasive surgery. The two groups of patients were observed after treatment and chest pain, in addition it need to record the basic situation of two groups of patients with surgery. Results The total effective rate of the observation group was significantly better than that of the control group. The VAS score decreased more than that of the control group. The operation time and hospitalization time in observation group were shorter than those in contl group. The above data was compared and found differences between groups, which was statistically significant（P〈0.05）. Conclusion Thoracoscopic minimally invasive surgery is used to treat patients with thoracic tuberculosis, and it is less harmful to patients and can effectively relieve the symptoms of chest pain, which is a safe treatment.