胸腔镜下肺大疱切除术治疗自发性气胸的临床效果评定

发布时间：2018-05-14 07:18

本文选题：胸腔镜下肺大疱切除术 + 自发性气胸　；参考：《临床医药文献电子杂志》2016年45期

【摘要】：目的探讨胸腔镜下肺大疱切除术治疗自发性气胸的临床效果。方法选取我院2014年3月~2016年2月收治的自发性气胸患者75例作为研究对象。传统组行传统开胸术;胸腔镜组给予胸腔镜下肺大疱切除术治疗。比较两组患者自发性气胸治愈率;手术操作、术后下地活动、留置引流管和住院所需时间;手术并发症。结果胸腔镜组患者自发性气胸治愈率显著比传统组高,差异有统计学意义(P0.05);胸腔镜组手术操作、术后下地活动、留置引流管和住院所需时间显著比传统组短,差异有统计学意义(P0.05);胸腔镜组患者自发性气胸手术并发症显著比传统组少,差异有统计学意义(P0.05);结论胸腔镜下肺大疱切除术治疗自发性气胸的临床效果确切,手术效果好,可提高治愈率,减少并发症,手术操作时间短,术后康复时间短,值得推广。
[Abstract]:Objective to investigate the clinical effect of thoracoscopic pneumonectomy for spontaneous pneumothorax. Methods 75 patients with spontaneous pneumothorax from March 2014 to February 2016 were selected. The traditional group was treated with traditional thoracotomy, and the group with thoracoscopy was treated with thoracoscopic pneumonectomy. The cure rate of spontaneous pneumothorax was compared between the two groups, the operation procedure, postoperative floor movement, the time required for indwelling drainage tube and hospitalization, and the complications of operation were compared between the two groups. Results the cure rate of spontaneous pneumothorax in the thoracoscopic group was significantly higher than that in the traditional group, and the difference was statistically significant (P 0.05). The complications of spontaneous pneumothorax in the thoracoscopic group were significantly less than those in the traditional group, and the difference was statistically significant (P 0.05). Conclusion the clinical effect of thoracoscopic pneumonectomy for spontaneous pneumothorax is accurate and the operative effect is good. It can improve the cure rate, reduce the complication, the operation time is short, the postoperative rehabilitation time is short, it is worth popularizing.
【作者单位】：黑龙江省牡丹江市肿瘤医院胸外科;
【分类号】：R655.3

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