单孔与单操作孔胸腔镜治疗自发性气胸的对比研究

发布时间：2018-06-14 15:29

本文选题：自发性气胸 + 单孔胸腔镜手术　；参考：《中国内镜杂志》2017年03期

【摘要】：目的比较单孔胸腔镜手术(uniportal VATS)与单操作孔胸腔镜手术(single utility port VATS)治疗自发性气胸的疗效。方法回顾性收集2013年1月-2015年12月收治自发性气胸行uniportal VATS治疗的53例患者作为实验组,对照同期53例行single utility port VATS治疗的患者作为对照组,比较两组的手术时间、术中出血量、胸管放置时间、术后住院时间、术后疼痛、术后并发症及远期复发等临床指标。结果 106例患者均顺利完成手术,无死亡及严重并发症发生。实验组和对照组比较,术后24 h疼痛视觉模拟评分(VAS)为(2.60±0.71)vs(3.38±0.84),术后72 h VAS为(1.30±0.51)vs(1.58±0.62),实验组较对照组术后24和72 h疼痛减轻(P0.05)。两组患者手术时间、术中出血、胸管引流时间、术后住院时间、手术费用和术后并发症的差异均无统计学意义(P0.05)。随访时间5~36个月,平均19个月,术后无气胸复发。结论单孔胸腔镜治疗自发性气胸与单操作孔两种方法同样安全有效,但单孔法术后疼痛程度更轻,近期疗效满意,值得进一步临床推广。
[Abstract]:Objective to compare the efficacy of single utility port vats in the treatment of spontaneous pneumothorax. Methods 53 patients with spontaneous pneumothorax treated with uniportal vats from January 2013 to December 2015 were retrospectively collected as experimental group and 53 patients treated with single utility port vats as control group. The operative time and intraoperative blood loss were compared between the two groups. Chest tube placement time, postoperative hospitalization time, postoperative pain, postoperative complications and long-term recurrence and other clinical indicators. Results all the 106 patients successfully completed the operation without death or serious complications. Compared with the control group, the visual analogue score of pain in the experimental group was 2.60 卤0.71)vs(3.38 卤0.84m at 24 h after operation, and the VAS was 1.30 卤0.51)vs(1.58 卤0.62m at 72 h after operation. The pain in the experimental group was alleviated by P0.05A than that in the control group at 24 and 72 hours postoperatively. There was no significant difference in operation time, intraoperative bleeding, thoracic drainage time, postoperative hospitalization time, operation cost and postoperative complications between the two groups (P 0.05). The follow-up time was 5 ~ 36 months (mean 19 months). There was no recurrence of pneumothorax after operation. Conclusion the treatment of spontaneous pneumothorax by single hole thoracoscopy is as safe and effective as that of single hole method, but the pain degree of single hole method is lighter, and the short-term curative effect is satisfactory, which is worthy of further clinical application.
【作者单位】：福建医科大学附属漳州市医院心胸外科;
【分类号】：R655

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