胸腔镜辅助小切口治疗创伤性血气胸对比研究  

Comparative study of Video-assisted mini-thoracotomy and traditional thoracotomy in the treatment of traumatic hemopneumothorax

作　　者：李小军[1] 许瑞彬[1] 王启[1] 刘延风[1] 郭建峰[1] 曹强[1] 

机构地区：[1]延安大学附属医院胸外科,陕西延安716000

出　　处：《延安大学学报（医学科学版）》2012年第2期24-26,共3页Journal of Yan'an University:Medical Science Edition

摘　　要：目的探讨胸腔镜辅助小切口治疗创伤性血气胸的临床疗效及其优点。方法将2007-12～2012-3 62例创伤性血气胸需要手术治疗的患者随机分成观察组和对照组,分别行胸腔镜辅助小切口(即VAMT组)、传统标准后外侧切口(即开胸组)手术进行治疗,比较二者的临床疗效。结果两组患者年龄、体重、肺部并发症发生率无显著差异(P>0.05),但手术时间、术中出血量、术后胸腔引流量、术后止痛剂用量、手术切口长度、住院天数有显著差异(P<0.05)。结论胸腔镜辅助小切口具有创伤性小,术后恢复快,手术时间短等优点,是一种治疗创伤性血气胸的较佳治疗方法,值得临床进一步推广应用。Objective To investigate the clinical effect and advantage of Video-assisted mini-thoracectomy in the treatment of traumatic hemopneumothorax. Methods 62 cases of traumatic hemopneumothorax who need operation treatment from 2007 December -2012 March were randomly divided into the observation group and the control group,were treated by Video-assisted mini-thoracectomy （group VAMT）, the traditional standard posterolateral thoracotomy （ i. e. open chest operation were treated）, comparing the two clinical effect. Results Two groups of patients age, body weight, the incidence of pulmonary complications had no significant difference （ P 〉 0. 05 ） , but the operation time, bleeding volume, postoperative pleural drainage, postoperative analgesic consumption, operation incision length,length of hospital stay have significant difference （ P 〈 0. 05 ）. Conclusion Video-assisted mini-thoracotomy （VATM） has little injury, quick recovery after operation, short operation time and is a better treatment of traumatic hemopneumothorax, worthy of further clinical application.

关 键 词：胸腔镜辅助小切口 创伤性血气胸 手术治疗 

分 类 号：R655[医药卫生—外科学]