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目的观察比较自发性气胸治疗中胸腔镜手术与传统开胸手术的效果。方法选取医院接诊的自发性气胸患者63例进行研究,随机分为观察组32例和对照组31例。对照组给予传统开胸手术,观察组给予胸腔镜手术。观察2组手术时间、切口大小、术中出血量、引流管留置时间、术后并发症发生率及疾病复发率情况。结果观察组手术时间、引流置管时间、住院时间短于对照组,切口小于对照组,术中出血量少于对照组(P均<0.05);观察组术后并发症发生率为15.6%,低于对照组的29.0%(P<0.05);观察组术后复发率为3.1%,对照组复发率为3.2%,2组比较差异无统计学意义(P>0.05)。结论胸腔镜手术在自发性气胸的治疗中具有手术时间短、创伤小、术后并发症发生率低等优点,因此该治疗方法值得在临床推广应用。
Objective To compare the effects of thoracoscopic surgery and conventional thoracotomy in the treatment of spontaneous pneumothorax. Methods Sixty-three patients with spontaneous pneumothorax admitted to the hospital were selected and randomly divided into observation group (32 cases) and control group (31 cases). The control group was given conventional thoracotomy and the observation group was given thoracoscopic surgery. The operation time, incision size, intraoperative blood loss, drainage tube indwelling time, postoperative complication rate and disease recurrence rate were observed. Results The operation time, drainage catheterization time and hospital stay in observation group were shorter than those in control group, and the incision was smaller than that in control group. The bleeding volume in operation group was less than that in control group (all P <0.05). The postoperative complication rate in observation group was 15.6% (P <0.05). The recurrence rate was 3.1% in the observation group and 3.2% in the control group. There was no significant difference between the two groups (P> 0.05). Conclusions Thoracoscopic surgery has the advantages of short operation time, small trauma and low incidence of postoperative complications in the treatment of spontaneous pneumothorax. Therefore, the treatment is worthy of clinical application.