电视胸腔镜单操作孔法在肺大疱切除术治疗气胸中的应用价值分析

Application of Video-assisted Thoracoscopic Surgery in the Treatment of Pneumothorax With Resection of Pulmonary Bullae

目的分析电视胸腔镜单操作孔法在肺大疱切除术治疗气胸中的应用价值。方法选取医院收治的气胸患者60例为对象进行研究,将其随机分为2组,各30例。采用电视胸腔镜单孔操作法治疗观察组,采用传统胸腔镜三孔法治疗对照组。比较两组手术情况、术后疼痛程度、住院时间、并发症以及复发率等。结果在手术情况方面,观察组手术、术后拔管、住院等时间以及术中出血量较对照组均显著较少,组间比较,差异具有统计学意义(P<0.05)。在术后疼痛程度(除轻度疼痛外)与并发症差异无统计学意义(P>0.05)。结论在肺大疱切除术治疗气胸中应用电视胸腔镜单操作孔法的效果非常显著,既能减少患者手术创伤,减轻术后疼痛,术后并发症发生率相对传统胸腔镜三孔法治疗要低,且可缩短住院时间,值得推广。

Objective To analyze the value of video-assisted thoracoscopic single operative hole in the treatment of pneumothorax.Methods a total of 60 pneumothorax patients admitted to the hospital were randomly divided into 2 groups with 30 patients each.The observation group was treated by video-assisted thoracoscopic single-hole operation,while the control group was treated by traditional video-assisted three-hole treatment.Operation,postoperative pain,length of hospital stay,complications and recurrence rates were compared between the two groups.Results In terms of operation,the duration of operation,postoperative extubation,hospitalization and intraoperative blood loss in the observation group were significantly less than those in the control group,with statistically significant differences(P<0.05).Postoperative pain(except slight pain)and complications do not have significant difference between the two groups(P>0.05).Conclusion The application of video-assisted thoracoscopic single hole in the treatment of pneumothorax with bullous resection of the lung has a very significant effect,which can not only reduce the surgical trauma and postoperative pain of patients,but also lower the incidence of postoperative complications than the traditional three-hole thoracoscopic treatment,and can shorten the length of hospital stay,which is worthy of promotion.