微创手术治疗创伤性血气胸的效果分析

Effect of minimally invasive surgery in treating traumatic hemopneumothorax

目的探讨微创手术治疗创伤性血气胸的效果。方法选取钦州市第一人民医院2013年8月—2015年8月收治的创伤性血气胸患者100例。依据手术方式的不同分为试验组(n=40)与对照组(n=60)。试验组采用微创手术方式,对照组采用开胸手术方式。比较两组患者的治疗效果、切口长度、术中出血量、手术时间及术后止痛药物使用量、引流时间及引流量、住院时间、并发症发生率及C反应蛋白(CRP)水平。结果两组患者治疗有效率比较,差异无统计学意义(P>0.05);试验组患者手术切口长度短于对照组,术中出血量少于对照组,手术时间短于对照组,差异有统计学意义(P<0.05)。试验组患者术后止痛药使用量少于对照组,引流时间短于对照组,引流量少于对照组,差异有统计学意义(P<0.05)。试验组患者住院时间短于对照组,并发症发生率低于对照组,术后第1、3、5天CRP水平均低于对照组,差异有统计学意义(P<0.05)。结论微创手术与开胸手术治疗创伤性血气胸疗效相当,但微创手术手术时间短、创伤小、疼痛轻及住院时间短,值得在临床中推广应用。

Objective To explore the effect of minimally invasive surgery in treating traumatic hemopneumothorax.Methods A total of 100 cases of patients with traumatic hemopneumothorax were selected from August 2013 to August 2015 in the First People’s Hospital of Qinzhou,which were divided into the experiment group( n = 40) and the control group( n = 60)according to the different surgery procedure. The experiment group was treated by minimally invasive surgery,the control group was treated by thoracotomy. The therapeutic effect,the length of incision,the intraoperative blood loss,the operation time and the postoperative analgesia drug usage,the drainage time and volume,hospital stays,the complications rate and the CRP between two groups were compared. Results There was no statistical differences of therapeutic effective rate between two groups( P > 0. 05). Of the experiment group,the incision length was shorter than control group,the intraoperative blood loss was less than control group,the operation time was shorter than control group,the differences were significant( P < 0. 05). Of the experiment group,the postoperative analgesia drug usage was less than control group,the drainage time was shorter than control group,the drainage volume was less than control group,the differences were significant( P < 0. 05). The hospital stays of experiment group was shorter than control group,the incidence of complications in experiment group was lower than the control group,the CRP after 1 day,3 days,5 days were lower than control group,the differences were significant( P < 0. 05). Conclusion The minimally invasive surgery and thoracotomy have similar effect in treatment of traumatic hemopneumothorax,but the minimally invasive surgery has a shorter operation time,small trauma,lighter pain,shorter hospitalization time,which is worth promoting and applying in clinical work.