电视胸腔镜手术治疗创伤性血气胸的可行性分析

发布时间：2018-06-22 04:35

  本文选题：创伤性血气胸 + 电视胸腔镜　； 参考：《重庆医学》2016年31期

【摘要】：目的比较开胸手术与电视胸腔镜治疗创伤性血气胸的效果,分析电视胸腔镜手术治疗的可行性。方法对2009年2月至2015年2月该院收治的100例创伤性血气胸患者资料进行回顾性分析,其中45例患者采用开胸手术进行治疗(对照组);55例患者采用电视胸腔镜手术进行治疗(观察组)。比较两组患者手术时间、住院时间、胸腔引流时间、应用止痛药时间及出血量,对两组患者进行随访,探讨患者出现严重并发症死亡情况。结果观察组患者手术时间[(63.53±16.34)min]、住院时间[(10.34±3.25)d]、胸腔引流时间[(3.15±0.89)d]、应用止痛药时间[(5.24±1.45)d]及出血量[(535.45±150.11)mL]均明显少于对照组[手术时间(112.66±27.28)min、住院时间(15.26±4.28)d、胸腔引流时间(5.89±1.78)d、应用止痛药时间(9.66±2.28)d及出血量(876.39±234.24)mL],差异有统计学意义(P0.05);观察组患者术后切口感染、胸内血块机化、腹膜腔感染和复张性肺水肿等严重并发症发生率(1.82%),与对照组(2.22%)无明显差异,两种手术方法在治疗创伤性血气胸方面均具有较高的安全性。结论创伤性血气胸患者采用电视胸腔镜手术治疗手术时间短,能明显缩短患者住院时间,减少术中出血量,有助于患者术后康复,可行性较高。
[Abstract]:Objective to compare the effect of thoracotomy and video-assisted thoracoscopy in the treatment of traumatic hemopneumothorax and analyze the feasibility of video-assisted thoracoscopic surgery. Methods the data of 100 patients with traumatic hemopneumothorax from February 2009 to February 2015 were retrospectively analyzed. Among them, 45 patients were treated with thoracotomy (control group) and 55 patients were treated by video-assisted thoracoscopic surgery (observation group). The operative time, hospitalization time, chest drainage time, analgesic time and bleeding volume were compared between the two groups. Results the operative time [(63.53 卤16.34) min], hospitalization time [(10.34 卤3.25) d], thoracic drainage time [(3.15 卤0.89) d], analgesic time [(5.24 卤1.45) d] and bleeding volume [(535.45 卤150.11) mL] in the observation group were significantly lower than those in the control group [(112.66 卤27.28) min, (15.26 卤4.28) d, (5.89 卤1.78) d]. (9.66 卤2.28) d and (876.39 卤234.24) mL, the difference was statistically significant (P0.05). The incidence of severe complications such as intrathoracic blood clot, peritoneal cavity infection and retensible pulmonary edema (1.82%) was not significantly different from that of the control group (2.22%). The two surgical methods were of high safety in the treatment of traumatic hemopneumothorax. Conclusion the treatment of traumatic hemopneumothorax by video-assisted thoracoscopic surgery can shorten the time of hospitalization, reduce the amount of blood lost during operation, and help the patients recover after operation.
【作者单位】： 华中科技大学同济医学院附属普爱医院胸外科;
【分类号】：R655
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本文编号：2051619