腋下小切口与电视胸腔镜手术治疗自发性气胸的比较

发布时间：2018-04-25 14:42

本文选题：腋下小切口 + 电视胸腔镜手术　；参考：《中西医结合心血管病电子杂志》2016年32期

【摘要】：目的比较腋下小切口与电视胸腔镜手术治疗自发性气胸的效果。方法选取本院2015年8月~2016年8月收治的自发性气胸患者64例作为样本,将其分为切口组与胸腔镜组两个组别。切口组治疗方法以腋下小切口为主,胸腔镜组治疗方法以电视胸腔镜为主。观察两组患者手术情况、住院时间、复发情况。结果胸腔镜组患者手术时间(60.02±0.11)min、术中出血量(36.95±1.33)mL、胸管引流时间(2.00±0.01)d、手术费用(1561.45±123.66)元、住院时间(4.02±0.71)d,复发率为0,与切口组相比,优势显著(P0.05)。结论应将电视胸腔镜作为自发性气胸的主要治疗方法,缩短手术时间与住院时间,减少术中出血量,缩短胸管引流时间,降低手术费用,降低疾病复发率。
[Abstract]:Objective to compare the effect of subaxillary small incision and video-assisted thoracoscopy in the treatment of spontaneous pneumothorax. Methods Sixty-four patients with spontaneous pneumothorax from August 2015 to August 2016 were divided into two groups: incision group and thoracoscopic group. The incision group was treated by subaxillary small incision, and the thoracoscopic group was treated by video-assisted thoracoscopy. The operation, hospital stay and recurrence were observed in both groups. Results in the thoracoscopic group, the operative time was 60.02 卤0.11 minutes, the intraoperative bleeding was 36.95 卤1.33mL, the drainage time was 2.00 卤0.01mL, the operation cost was 1561.45 卤123.66 yuan, the hospitalization time was 4.02 卤0.71nd, the recurrence rate was 0, compared with the incision group, the advantage was significant (P 0.05). Conclusion the video-assisted thoracoscopy should be regarded as the main treatment for spontaneous pneumothorax, which can shorten the operation time and hospitalization time, reduce the amount of intraoperative bleeding, shorten the time of thoracic tube drainage, reduce the cost of operation and reduce the recurrence rate of the disease.
【作者单位】：内蒙古巴彦淖尔市市医院胸外科;
【分类号】：R655

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