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目的探究胸外伤采用电视胸腔镜治疗的临床疗效。方法选取胸外伤患者67例,利用随机数字法分为对照组33例和观察组34例,对照组患者均采用常规开胸手术治疗,观察组患者均采用电视胸腔镜治疗,观察比较两组患者手术治疗效果、各项临床指标情况以及患者视觉模拟VAS(疼痛)评分情况。结果观察组患者治愈率为97.1%,对照组患者治愈率为97.0%,患者治愈率组间比较无明显统计学差异(P>0.05);观察组患者手术时间和术后住院时间均短于对照组(P<0.05),患者术中输血量和引流量少于对照组(P<0.05),数据比较存在统计学差异;术后观察组患者VAS评分低于对照组(P<0.05),数据比较统计学意义显著。结论采用电视胸腔镜治疗胸外伤,可有效减轻患者疼痛,缩短患者手术时间和术后住院时间,减少输血量和引流量,治疗效果良好,应用价值高。
Objective To investigate the clinical efficacy of thoracoscopic treatment of thoracic trauma. Methods Sixty-seven patients with thoracic trauma were selected and divided into control group (n = 33) and observation group (n = 34) by random number method. The patients in control group were treated by conventional thoracotomy. The patients in observation group were treated by video-assisted thoracoscopy. Surgical treatment results, the clinical indicators and patient visual analog VAS (pain) score. Results The cure rate was 97.1% in the observation group and 97.0% in the control group. There was no significant difference between the two groups in the cure rate (P> 0.05). The operation time and postoperative hospital stay in the observation group were shorter than those in the control group (P <0.05). The volume of blood transfusion and drainage in operation were less than those in control group (P <0.05), and there was significant difference between the two groups. VAS score in postoperative observation group was lower than that in control group (P <0.05) Significant statistical significance. Conclusion The treatment of thoracic trauma with video-assisted thoracoscopy can effectively reduce the pain, shorten the operation time and postoperative hospital stay, reduce the volume of blood transfusion and drainage volume. The therapeutic effect is good and the application value is high.