单孔和三孔电视胸腔镜治疗自发性气胸的疗效比较

Comparison of Single-hole and Three-Hole Video-Assisted Thoracoscopic Treatment for Spontaneous Pneumothorax

目的:探究自发性气胸患者治疗中单孔和三孔电视胸腔镜治疗效果。方法:将阳春市人民医院2018年1月至2019年1月收治的自发性气胸患者中随机抽取的80例患者作为研究对象,随机分两组,每组40例。对照组实施三孔法电视胸腔镜治疗,观察组实施单孔法电视胸腔镜治疗,比较两组患者各项手术指标以及手术后不同时间疼痛情况。结果:两组患者各项手术指标比较,差异无统计学意义(P> 0.05);观察组患者手术后3 d、15 d、30 d以及60 d疼痛评分均低于对照组,差异具有统计学意义(P <0.05)。结论:自发性气胸患者治疗中单孔和三孔电视胸腔镜的应用均能够起到治疗效果,且单孔下手术对患者造成的创伤更小,疼痛程度更轻。

Objective To investigate the effect of single-hole and three-hole TV thoracoscopy in the treatment of spontaneous pneumothorax. Methods 80 cases of spontaneous pneumothorax admitted to Yangchun people’s hospital from January 2018 to January 2019 were randomly selected as the subjects, and were randomly divided into two groups. The control group performed three-hole TV thoracoscopic treatment, and the research group implemented single-hole TV thoracoscopic treatment. The two groups of patients were compared with various surgical indicators and pain conditions at different times after surgery. Results There was no significant difference between the two groups(P > 0.05). The pain score of 3, 15, 30 and 60 days after operation was lower than that of the control group.The difference was statistically significant(P < 0.05). Conclusion The treatment of patients with spontaneous pneumothorax single hole and three hole TV thoracoscope can play a therapeutic effect,and the surgery under the single hole causes less trauma,the degree of pain is lighter.