胸腔镜与传统开胸治疗肺大疱合并自发性气胸临床应用对比研究

发布时间：2018-01-23 20:46

  本文关键词： 电视胸腔镜 传统开胸手术 肺大疱 自发性气胸 外科治疗　出处：《内蒙古大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的：比较胸腔镜与传统开胸两种手术方式治疗肺大疱合并自发性气胸的疗效。方法：通过内蒙古包钢医院2001年3月至2014年10月收治的肺大疱合并自发性气胸患者136例作为试验对象,其中胸腔镜手术76例,传统开胸手术60例,通过观察其手术用时间、手术后胸引管留置时间、手术后抗生素使用天数、手术后住院时间、手术治疗费用、术后止痛药物使用例数、术后并发症发生例数、术后复发例数等指标评价两种手术方式的疗效。结果：136例患者手术均取得成功,无围术期死亡,两组患者手术顺利,均治愈出院。胸腔镜组手术后切口疼痛感轻、手术用时间、术后胸引管留置及术后住院时间短,在术后抗生素及止痛药物用量方面少优于传统开胸组(P0.05),而住院费用传统开胸组明显低于胸腔镜组(P0.05)。结论：两种手术方式治疗肺大疱合并自发性气胸均安全并有效,胸腔镜治疗肺大疱合并自发性气胸术后疼痛轻,抗生素及止痛药物应用少,传统开胸组医疗费用较经济。
[Abstract]:Objective: To compare the efficacy of two types of surgical assisted thoracoscopic surgery and conventional thoracotomy in the treatment of pulmonary bullae with spontaneous pneumothorax. Methods: the Inner Mongolia Baotou hospital from March 2001 to October 2014 were pulmonary bullae with spontaneous pneumothorax in 136 patients as the experimental object, including 76 cases of thoracoscopic surgery and conventional thoracotomy in 60 cases, through the observation of its operation with time, operative chest drainage tube indwelling time, postoperative days of antibiotic use, hospitalization time after surgery, surgery costs, postoperative analgesic drug use cases, postoperative complication cases, postoperative recurrence cases to evaluate the curative effect of two surgical methods. Results: 136 cases were made success, no perioperative death, two patients were operated successfully, were cured. Thoracoscopic operative incision pain light, operation time, postoperative chest drainage tube indwelling and postoperative hospital stay in a short time, In terms of postoperative antibiotics and analgesic dosage less than traditional thoracotomy group (P0.05), but the hospitalization costs of traditional thoracotomy group were significantly lower than those in the VATS group (P0.05). Conclusion: two kinds of surgical treatment of pulmonary bullae with spontaneous pneumothorax were safe and effective, thoracoscopic treatment of pulmonary bullae with spontaneous pneumothorax in postoperative pain, antibiotics and analgesics, traditional thoracotomy group medical cost is economic.

【学位授予单位】：内蒙古大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R655

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