电视胸腔镜与传统开胸术治疗胸外伤的临床对比研究  

Comparison Between Video-assisted Thoracic Surgery and Traditional Thoracotomy for the Treatment of Chest Trauma

作　　者：熊卫民[1] 杨彬[1] 黄标通[1] 龙建平[1] 王锐[1] 

机构地区：[1]中国人民解放军第163中心医院胸心外科,湖南长沙410003

出　　处：《医学临床研究》2013年第9期1746-1747,共2页Journal of Clinical Research

摘　　要：【目的】探讨电视胸腔镜手术（video—assistedthoracicsurgery，VATS）治疗胸外伤的价值。【方法】2007年3月至2012年6月本院收治的胸外伤需进行手术治疗的患者52例分为电视胸腔镜手术组（VATS组）20例，传统开胸手术组（对照组）32例，研究两组围术期指标。【结果】两组治愈率无明显差异，与对照组相比，VATS组术中出血少，术后胸管留置时间短，引流量少，住院天数缩短。【结论】合理应用电视胸腔镜技术能减轻胸外伤患者创伤程度，利于术后恢复。[Objective]To explore the value of video-assisted thoracic surgery（VATS） in the treatment of chest trauma. [Methods]A total of 52 patients with chest trauma scheduled for the operation in our hospital from March 2007 to June 2012 were divided into VATS group（ n = 20） and traditional thoracotomy（control group, n =32）. The parameters in preoperative period were studied. [Results]There was no obvious differ- ence in curative rate between two groups. Compared with control group, intraoperative bleeding was less, and chest tube retention duration was shorter, and the drainage volume was fewer and the hospital day was short- ened in VATS group. [Conclusion] Rational use of VATS can alleviate the trauma degree of patients with chest trauma, and is helpful for postoperative recovery.

关 键 词：胸部 损伤 胸腔镜检查 

分 类 号：R655[医药卫生—外科学]