电视胸腔镜手术治疗创伤性血气胸的临床价值  

Clinical value of video-assisted thoracoscopic operation for the treatment of traumatic hemopneumothorax

作　　者：周卫东[1] 姚传[1] 

机构地区：[1]九江学院附属医院心胸外科,江西九江332000

出　　处：《中国当代医药》2013年第29期58-59,共2页China Modern Medicine

摘　　要：目的 分析电视胸腔镜手术治疗创伤性血气胸的临床价值.方法 选择本院2009年10月～2012年2月收治的创伤性血气胸患者60例,随机分成治疗组和对照组各30例,对照组患者进行全麻双腔插管静脉复合麻醉和常规胸腔手术治疗;治疗组患者进行全麻双腔插管静脉复合麻醉,并根据患者胸部的受伤情况,使用常规电视胸腔镜手术切口或从患者外伤创口放入观察镜进行胸腔镜手术治疗.结果 治疗组和对照组手术时间、术中出血量、输血量、住院时间差异有统计学意义（P＜0.05）.结论 外伤性血气胸患者使用电视胸腔镜手术治疗较常规手术治疗能够减少手术时间、出血量、输血量、住院时间,不仅有利于提高创伤性血气胸的治疗效果,而且有利于节约治疗成本,值得临床推广.Objective To analyze the clinical value of video-assisted thoracoscopic operation （VATS） for the treatment of traumatic hemopneumothorax. Methods 60 cases of traumatic hemopneumothorax patients in our hospital during October 2009 to February 2012 were selected, and randomly divided into treatment group and control group, 30 cases in each group, patients in the control group were given general anesthesia of double cavity intubation intravenous anesthesia and conventional chest operation, patients in the treatment group were given double cavity intubation intravenous general anesthesia, and then given surgical treatment from VATS incision or trauma wound. Results The operation time, intraoperative bleeding, transfusion, hospitalization time of treatment group and the control group compared, the difference was statistically significant （P〈O.05）, Conclusion Compared with the conventional operation therapy, video-assisted thoracoscopic operation in treatment of traumatic hemopneumothorax can reduce the operation time, bleeding volume, blood transfusion, hospitalization time, not only to improve the effect of treatment of traumatic hemopneumothorax, but also conducive to the treatment cost, is worthy of clinical application.

关 键 词：电视胸腔镜 创伤 血气胸 

分 类 号：R561.5[医药卫生—呼吸系统]