探讨腋下小切口应用于自发气胸手术中的临床应用

Exploration on clinical application of small axillary incision applied in spontaneous pneumothorax surgery

目的研究分析自发气胸手术使用腋下小切口操作的临床效果和应用价值。方法 100例自发气胸患者,随机分成对照组和治疗组,各50例。治疗组患者接受传统腋下小切口手术治疗,对照组使用电视胸腔镜下手术治疗,比较两组手术效果。结果治疗组患者术中出血量(80.31±18.56)ml、手术时间(81.32±19.43)min、引流量(182.73±14.78)ml、住院天数(6.41±1.56)d;对照组患者术中出血量(82.31±19.45)ml、手术时间(80.47±19.78)min、引流量(265.83±15.42)ml、住院天数(5.43±1.21)d;两组患者胸管引流量和术后住院时间比较,差异有统计学意义(P<0.05)。两组患者术中出血量和手术时间比较,差异无统计学意义(P>0.05)。随访6个月,治疗组复发3例(6%),对照组复发4例(8%),两组比较差异无统计学意义(P>0.05)。结论自发气胸手术使用腋下小切口操作安全可行,术后恢复快,引流少,在胸外科具有应用价值。

Objective To study and analyze the clinical effect and application value of smallaxillary incision surgery applied in spontaneous pneumothorax surgery.Methods A total of100spontaneouspneumothorax patients were randomly divided into control group and treatment group,with50cases in eachgroup.The treatment group received traditional small axillary incision surgery for treatment,and the control groupreceived video-assisted thoracic surgery for treatment.Surgical effect was compared in two groups.Results Thetreatment group had intraoperative bleeding volume as(80.31±18.56)ml,operation time as(81.32±19.43)min,drainage volume as(182.73±14.78)ml and hospital stay time as(6.41±1.56)d,while the control group hadintraoperative bleeding volume as(82.31±19.45)ml,operation time as(80.47±19.78)min,drainage volume as(265.83±15.42)ml and hospital stay time as(5.43±1.21)d.Both groups had statistically significant differencein thoracic duct drainage volume and postoperative hospital stay time(P<0.05).Both groups had no statisticallysignificant difference in intraoperative bleeding volume and operation time(P>0.05).After6months of followup,the treatment group had3recurrence cases(6%),while the control group had4recurrence cases(8%),and thedifference had no statistical significance(P>0.05).Conclusion Small axillary incision operation for small axillaryincision surgery is safe and feasible with quick postoperative recovery and less drainage,and it has applicationvalue in chest surgery.