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目的探讨胸外科局限性小切口开胸术的临床应用价值。方法选取2012年5月—2015年9月于洛阳市第一人民医院进行胸外科手术的患者200例,根据胸外科手术切口不同分为观察组与对照组,各100例。两组患者均予以胸外科手术,对照组患者采用传统外侧切口实施手术,观察组患者予以局限性小切口开胸术。观察两组患者术中出血量、术后引流量、疼痛程度、住院时间及并发症发生情况。结果观察组患者术中出血量、术后引流量少于对照组,视觉模拟评分法(VAS)评分低于对照组,住院时间短于对照组,并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论胸外科局限性小切口开胸术的临床应用价值较高,可明显减少术中出血量及术后引流量,缓解患者术后疼痛,缩短患者住院时间。
Objective To investigate the clinical value of limited thoracotomy in thoracic surgery. Methods From May 2012 to September 2015, 200 cases of thoracic surgery were performed in the First People’s Hospital of Luoyang. According to the incision of thoracic surgery, the patients were divided into observation group and control group with 100 cases each. Patients in both groups underwent thoracic surgery. Patients in the control group underwent conventional lateral incision and patients in the observation group underwent limited thoracotomy. Two groups of patients were observed intraoperative blood loss, postoperative drainage, pain, hospital stay and complications. Results In the observation group, the intraoperative blood loss and postoperative drainage were less than those in the control group. The visual analogue scale (VAS) score was lower in the observation group than in the control group. The length of stay in the observation group was shorter than that in the control group. The incidence of complications was lower than that in the control group Significance (P <0.05). Conclusion The limitation of small thoracic surgery thoracotomy has a high clinical value, which can significantly reduce the amount of postoperative bleeding and postoperative drainage, relieve postoperative pain and shorten the hospitalization time.