两种手术治疗创伤性血气胸的效果比较

发布时间：2018-04-20 17:01

本文选题：胸外科手术 + 电视辅助　；参考：《重庆医学》2017年26期

【摘要】：目的比较电视胸腔镜(VATS)与传统开胸手术治疗创伤性血气胸的临床疗效。方法选取2011年1月至2016年1月该院收治的96例创伤性血气胸患者为研究对象,患者经随机数字表法分为对照组(n=48)和观察组(n=48)。观察组患者予VATS手术治疗,对照组患者予传统开胸手术治疗。对比两组患者术中、术后情况,血清C反应蛋白(CRP)水平变化情况和并发症发生情况。结果两组患者均顺利完成手术,未出现死亡和2次开胸止血患者,观察组患者无中转开胸手术;观察组患者的术中出血量、术后止痛药用量、胸管引流量均少于对照组患者,切口长度、手术时间、胸管引流时间、应用止痛药时间和住院时间均短于对照组患者(P0.05)。观察组和对照组患者的并发症总发生率分别为10.41%和35.42%,比较差异有统计学意义(P0.05)。结论采用VATS治疗创伤性血气胸对患者造成的创伤较小,可缩短手术时间和术后恢复时间,减轻术后疼痛。
[Abstract]:Objective to compare the clinical effects of video-assisted thoracoscopic surgery (VATS) and traditional thoracotomy in the treatment of traumatic hemopneumothorax. Methods 96 patients with traumatic hemopneumothorax admitted in our hospital from January 2011 to January 2016 were randomly divided into control group (n = 48) and observation group (n = 48). The patients in the observation group were treated with VATS operation, and the patients in the control group were treated with traditional thoracotomy. The changes of serum C-reactive protein (CRP) levels and complications were compared between the two groups. Results all the patients in the two groups completed the operation successfully, no death and two thoracotomy hemostasis cases occurred, and the patients in the observation group had no conversion to thoracotomy, the amount of intraoperative bleeding, the dosage of painkillers and the drainage flow of the chest tube in the observation group were lower than those in the control group. The length of incision, the time of operation, the time of chest tube drainage, the time of using analgesic and the time of hospitalization were shorter than those of the control group (P 0.05). The total incidence of complications in the observation group and the control group was 10.41% and 35.42%, respectively. The difference was statistically significant (P 0.05). Conclusion the treatment of traumatic hemopneumothorax with VATS can shorten the time of operation and recovery and relieve postoperative pain.
【作者单位】：贵州省六盘水市人民医院胸外科;
【分类号】：R655

【相似文献】