单孔法、双孔法及三孔法胸腔镜手术治疗青年人自发性气胸的对比研究

发布时间：2018-10-10 06:29

【摘要】：目的:比较3种胸腔镜手术方法治疗青年人自发性气胸的手术效果。方法:筛选出我院应用胸腔镜治疗的108例青年人自发性气胸,其中42例采用三孔VATS,35例采用双孔VATS,31例采用单孔VATS,比较3种术式的手术时间、术中出血量、术后胸管保留时间、术后住院时间及疼痛程度。结果:三孔组及双孔组手术时间无明显统计学差异(P0.05),三孔组及双孔组手术时间明显少于单孔组(P0.05);双孔组及单孔组术后疼痛程度明显轻于三孔组(P0.05),双孔组及单孔组术后疼痛程度无明显差异(P0.05);术中出血量、术后胸管保留时间及术后住院时间3组之间无明显统计学差异(P0.05)。结论:双孔VATS兼有手术时间短及术后疼痛轻的优点,是个值得推广的手术方式。
[Abstract]:Objective: to compare the results of three thoracoscopic procedures in the treatment of spontaneous pneumothorax in young people. Methods: one hundred and eight young patients with spontaneous pneumothorax were selected for thoracoscopic treatment in our hospital. Among them, 42 cases were treated with three-hole VATS,35, and 42 cases were treated with double-hole VATS,31. The operative time, intraoperative bleeding volume and postoperative chest duct retention time were compared by single hole VATS,. Postoperative hospitalization time and pain degree. Results: there was no significant difference in the operation time between the three hole group and the double hole group (P0.05). The operation time of the three hole group and the double hole group was significantly less than that of the single hole group (P0.05), and the postoperative pain degree of the double hole group and the single hole group was significantly less than that of the three hole group (P0.05), the double hole group and the single hole group (P0.05). There was no significant difference in postoperative pain (P0.05). There was no significant difference in postoperative chest tube retention time and postoperative hospitalization time between the three groups (P0.05). Conclusion: double-hole VATS has the advantages of short operation time and less postoperative pain.
【作者单位】：南通大学第三附属医院无锡市第三人民医院;

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