双孔胸腔镜肺大疱切除术和单孔胸腔镜肺大疱切除术治疗自发性气胸的效果比较

Comparison of clinical effects of double-hole thoracoscopic bullae resection versus single-hole thoracoscopic bullae resection on spontaneous pneumothorax

目的:比较双孔胸腔镜肺大疱切除术和单孔胸腔镜肺大疱切除术治疗自发性气胸的效果。方法:抽取2016年6月至2020年5月郑州颐和医院收治的自发性气胸患者56例,采用随机数字表法分为对照组与观察组,每组28例。对照组采用双孔胸腔镜肺大疱切除术,观察组采用单孔胸腔镜下肺大疱切除术。比较两组围术期情况、恢复情况、并发症发生率、复发率、视觉模拟评分法(VAS)评分。结果:观察组术中出血量、术后引流量少于对照组,手术时间短于对照组( P<0.05)。术后1、3、7 d,观察组VAS评分均低于对照组( P均<0.05)。观察组引流管留置时间及住院时间均短于对照组( P均<0.05)。术后,观察组并发症发生率及复发率(3.57%,1/28;3.70%,1/27)与对照组(14.29%,4/28;7.69%,2/26)比较,差异未见统计学意义( P>0.05)。 结论:单孔胸腔镜下肺大疱切除术治疗自发性气胸可缓解疼痛,改善围术期情况并促进患者机体恢复,术后复发率低,安全可靠。

Objective To compare the effects of double-hole thoracoscopic bullae resection versus single-hole thoracoscopic bullae resection in the treatment of patients with spontaneous pneumothorax.Methods A total of 56 patients with spontaneous pneumothorax treated in Zhengzhou Yihe Hospital from June 2016 to May 2020 were selected and divided into control group and observation group by random number table method,with 28 cases in each group.The control group was treated by double-hole thoracoscopic bullae resection,and the observation group was treated by single-hole thoracoscopic bullae resection.The perioperative situation,recovery,complication rate,recurrence rate and visual analogue scale(VAS)score were compared between the two groups.Results Compared with the control group,the intraoperative blood loss and postoperative drainage volume of the observation group were less,and the operation time was shorter(P<0.05).The VAS scores of the observation group were lower than those of the control group on 1 day,3 days and 7 days after operation(all P<0.05).The indwelling time of drainage tube and hospital stay in the observation group were shorter than those in the control group(all P<0.05).There was no significant difference in the incidence of complications and recurrence rate between the observation group(3.57%,1/28;3.70%,1/27)and the control group(14.29%,4/28;7.69%,2/26),P>0.05.Conclusions Single-hole thoracoscopic bullae resection for spontaneous pneumothorax can relieve pain,improve perioperative conditions and promote the recovery of patients,which has low recurrence rate after treatment and high safety.