创伤性血气胸合并多发肋骨骨折的临床疗效对比  

Comparison of Curative Effect on Traumatic Hemopneumothorax Combined Multiple Rib Fractures

作　　者：罗立峰[1,2] 同李平[1] 周勇安[1] 程庆书[1] 

机构地区：[1]第四军医大学唐都医院胸外科,陕西西安710038 [2]铜川矿务局中心医院,陕西铜川727000

出　　处：《现代生物医学进展》2012年第30期5893-5895,共3页Progress in Modern Biomedicine

摘　　要：目的:比较电视胸腔镜手术(VATS)与传统开胸手术治疗创伤性血气胸合并多发肋骨骨折的临床疗效。方法:将我科收治的85例外伤致血气胸合并多发肋骨骨折的患者随机分为两组,其中VATS手术组(观察组)40例,采用VATS进行治疗;传统开胸手术组(对照组)45例,采用传统胸部后外侧切口,经肋间进胸探查并治疗。结果:两组患者治愈率均为100%,疗效差异不显著;观察组手术时间、术中出血量、住院时间均明显少于对照组(P<0.05)。结论:传统开胸手术和VATS手术均有较好疗效,但VATS优势更明显,值得临床推广应用。Objective： To compare the curative effect on traumatic hemopneumothorax combined multiple rib fractures between video-assisted thoracoscopic surgery and traditional thoracotomy. Methods： Eighty-five patients with traumatic hemopneumothorax combined multiple rib fractures were randomly divided into two groups. The experimental group （40 cases） was operated by video-assisted thoracoscope, and the control group （45 cases） was given traditional thoracotomy. Results： The recovery rate of both groups was 100%. Compared with control group, the VATS had a significant advantage of shorter operating time, less intraoperative hemorrhage and declined hospitalization time. Conclusion： The two methods have similar therapeutic effect. In addition, the VATS method, which is prior to traditional way, should be popularized clinically.

关 键 词：血气胸 骨折 VATS 疗效 

分 类 号：R605[医药卫生—外科学]