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目的:分析并对比电视胸腔镜手术(VATS)与开胸手术治疗自发性气胸(PSP)的临床疗效。方法:将75例自发性气胸患者按照手术方式分为观察组(41例)和对照组(34例),观察组行电视胸腔镜手术,对照组行开胸手术,对比两组患者手术效果。结果:两组患者手术成功率100%,术后均痊愈出院,无肺复张不全、出血、持续漏气等并发症,两组复发率对比(P>0.05)。观察组手术时间、术中出血量、下床活动时间、住院时间及杜冷丁使用数量均少于对照组(P<0.05)。结论:VATS治疗PSP临床效果优于开胸手术治疗效果,安全可靠。
Objective: To analyze and compare the clinical effects of VATS and thoracotomy for the treatment of spontaneous pneumothorax (PSP). Methods: Seventy-five patients with spontaneous pneumothorax were divided into observation group (41 cases) and control group (34 cases) according to the operation method. The observation group underwent thoracoscopic surgery and the control group underwent thoracotomy. The surgical effect was compared between the two groups. Results: The success rate of operation in both groups was 100%. All cases were cured and discharged from the hospital. No complications such as incomplete pulmonary replacement, hemorrhage and persistent air leak were found. The recurrence rates of the two groups were compared (P> 0.05). The operation time, intraoperative blood loss, ambulation time, hospital stay and the use of pethidine in the observation group were all less than those in the control group (P <0.05). Conclusion: The clinical effect of VATS in treatment of PSP is superior to that of thoracotomy and is safe and reliable.