微创胸腔内闭式引流技术治疗创伤性气胸的临床价值

Clinical value of minimally invasive thoracic closed drainage in the treatment of traumatic pneumothorax

目的探究微创胸腔内闭式引流技术治疗创伤性气胸的临床价值。方法回顾性分析我院2016年12月到2018年12月98例创伤性气胸患者的临床资料,根据治疗方法不同将其分成对照组和观察组,每组49例。对照组采用传统胸腔闭式引流术治疗;观察组采用微创胸腔内闭式引流技术治疗。比较两组患者的治疗效果、手术治疗相关指标、疼痛情况及并发症发生情况。结果观察组治疗总有效率为95.92%,显著高于对照组79.59%,差异具有统计学意义(P<0.05)。观察组住院时间、下床活动时间、伤肺完全复张时间均明显短于对照组,差异具有统计学意义(P<0.05)。观察组治疗后2、4、8、24h的VAS评分明显低于对照组,差异具有统计学意义(P<0.05)。观察组并发症总发生率为14.29%,显著低于对照组的32.65%,差异具有统计学意义(P<0.05)。结论微创胸腔内闭式引流技术治疗创伤性气胸效果确切,能够有效提高治疗效果,缩短患者的恢复时间,缓解术后疼痛,减少并发症的发生。

Objective To explore the clinical value of minimally invasive thoracic closed drainage in the treatment of traumatic pneumothorax. Methods The clinical data of 98 patients with traumatic pneumothorax in our hospital from December 2016 to December 2018 were retrospectively analyzed. The patients were divided into control group and observation group according to different treatment methods, with 49 cases in each group. The control group was treated with traditional thoracic closed drainage, while the observation group was treated with minimally invasive thoracic closed drainage. The therapeutic effects, surgical treatment related indexs, pain and complications of the two groups were compared. Results The total effective rate of treatment in the observation group was 95.92%, which was significantly higher than 79.59% in the control group, and the difference was statistically significant (P<0.05). The hospitalization time, the time of getting out of bed and the complete recovery time of lung injury in the observation group were significantly shorter than those in the control group, and the differences were statistically significant (P<0.05). At 2, 4, 8 and 24 h after treatment, the VAS scores in the observation group were significantly lower than those in the control group, and the differences were statistically significant (P<0.05). The total incidence of complications in the observation group was 14.29%, which was significantly lower than 32.65% in the control group, and the difference was statistically significant (P<0.05). Conclusion Minimally invasive thoracic closed drainage has a curative effect in the treatment of traumatic pneumothorax. It can effectively improve the therapeutic effect, shorten the recovery time of patients, alleviate postoperative pain and reduce the occurrence of complications.