评价胸腔镜辅助小切口手术在胸外伤治疗中的应用价值

Evaluating the Value of Thoracoscopy-assisted Small Incision Surgery in the Treatment of Thoracic Trauma

目的评价胸腔镜辅助小切口手术在胸外伤治疗中的应用效果。方法选取解放军联勤保障部队庐山康复疗养中心于2018年1月—2022年12月收治的80例胸外伤治疗患者为研究对象,通过随机数表法分为比较组(40例,传统开胸手术)与研究组(40例,胸腔镜辅助小切口手术),比较两组手术指标、术后引流情况、时间指标、疼痛评分、并发症发生情况。结果研究组出血量(84.15±10.02)mL,切口长度(8.02±1.41)cm,优于比较组出血量(180.32±12.02)mL、切口长度(20.12±1.36)cm,差异有统计学意义(t=38.868、39.064,P均<0.05)。研究组术后引流情况、时间指标、疼痛评分及并发症发生情况均优于比较组,差异有统计学意义(P均<0.05)。结论胸外伤治疗中应用胸腔镜辅助小切口手术能够优化手术指标,改善引流指标,缩短康复时间,降低术后疼痛评分与并发症发生率。

Objective To evaluate the application effect of thoracoscopy-assisted small incision surgery in the treatment of thoracic trauma.Methods 80 patients for treatment of thoracic trauma admitted to PLA Joint Logistic Support Force Lushan Rehabilitation and Recreation Center from January 2018 to December 2022 were selected as the study objects,and divided them into comparison group(40 cases,traditional open thoracotomy)and study group(40 cases,thoracoscopy-assisted small incision surgery)by random number table method.The surgical indexes,postoperative drainage,time indexes,pain scores,and complications occurrence of two groups were compared.Results Bleeding(84.15±10.02)mL and incision length(8.02±1.41)cm in the study group were better than bleeding(180.32±12.02)mL and incision length(20.12±1.36)cm in the comparison group,and the differences were statistically significant(t=38.868,39.064,both P<0.05).The postoperative drainage,time indicators,pain scores,and incidence of complications in the study group were better than those in the comparison group,and the differences were statistically significant(all P<0.05).Conclusion The application of thoracoscopy-assisted small incision surgery in the treatment of thoracic trauma can optimize surgical indexes,improve the indexes of and drainage,shorten the recovery time,and reduce the postoperative pain scores and complication rates.