传统外科开胸术与电视胸腔镜手术治疗外伤后凝固性血胸的对比研究  

Comparison between Traditional Thoracotomy and Video-assisted Thoracoscopy for Coagulated Hemothorax

作　　者：干尧鳘 王建民[1] 刘泗军[1] 石勇[1] 严景元 王允[2] 

机构地区：[1]四川省眉山市第二人民医院胸外科,眉山620010 [2]四川大学华西医院胸心血管外科,成都610041

出　　处：《中国微创外科杂志》2008年第5期425-427,共3页Chinese Journal of Minimally Invasive Surgery

基　　金：国家自然科学基金(30100181);四川大学青年科技基金(2003035)

摘　　要：目的探讨电视胸腔镜手术(video-assisted thoracoscopic surgery,VATS)在凝固性血胸治疗中的价值。方法应用随机对照研究前瞻性分析2005年7月~2007年7月间开展的VATS和传统开胸手术治疗凝固性血胸各31例,比较临床病理生理参数。结果2组性别、年龄、开放伤、伤侧及合并伤发生率无显著差异。与开胸组相比,VATS组手术时间短[(52.1±24.4)minvs(120.2±47.2)min,t=-7.136,P=0.000],术中出血少[(137.1±14.6)mlvs(203.2±53.4)ml,t=-6.648,P=0.000],术后引流量少[(181.3±37.9)mlvs(253.9±64.0)ml,t=-5.435,P=0.000],术后引流时间短[(1.7±0.7)dvs(4.8±1.8)d,t=-8.937,P=0.000],术后住院时间短[(12.6±2.4)dvs(18.0±8.9)d,t=-3.262,P=0.002]。2组并发症发生率无显著差异(0例vs1例,χ2=0.000,P=0.000)。结论VATS治疗凝固性血胸安全有效,有一定的推广价值。Objective To investigate the value of video-assisted thoracoscopic surgery(VATS)in the treatment of coagulated hemothorax.Methods A prospective randomized controlled study.Between July 2005 and July 2007,62 patients with coagulated hemothorax were enrolled in this study.The patients were randomly divided into VATS and traditional thoracotomy groups(31 in each).The pathophysiological parameters of the two grups were compared.Results No significant difference in the sex,age,property and location of the wound,...

关 键 词：电视胸腔镜 凝固性血胸 

分 类 号：R655[医药卫生—外科学]