电视胸腔镜探查在创伤性血气胸中的临床应用  

VIDEO- ASSISTED THORACOSCOPIC EXPLORATION IN THE CLINICAL APPLICATION TO THE TRAUMATIC BLOOD GAS CHEST

作　　者：郁大江[1] 

机构地区：[1]江苏省中医院心胸外科南西六病区,江苏南京210029

出　　处：《牡丹江医学院学报》2013年第6期18-20,共3页Journal of Mudanjiang Medical University

摘　　要：目的:探讨电视胸腔镜手术(VATS)在治疗创伤性血气胸中的应用价值。方法:对我院2011-12~2013-01采用VATS进行探查与治疗的85例创伤性血气胸患者及采用传统的开胸手术进行治疗的77例创伤性血气胸患者的临床资料进行回顾性分析。结果:VATS组治愈率为98.82%;TH组治愈率为97.40%,两组患者治愈率差异无统计学意义(P>0.05);VATS组患者手术时间、术后引流管留置时间、术后离床活动时间及术后住院天数均短于TH组(P<0.05);术中出血量、术后引流量、术后度冷丁用量均少于TH组(P<0.05)。结论:电视胸腔镜手术具有疗效确切、创伤小、术后恢复快、安全性高等特点,可显著缩短患者的手术时间及住院天数,提高患者的临床治疗效果,值得临床应用。Objective ：To investigate the video - assisted thoracoscopic surgery （VATS） value in the treatment of traumatic blood gas chest. Methods ：77 cases treated in our hospital from December 2011 to January 2013 using VATS exploration and treatment of 85 cases of patients with traumatic hemopneumothorax and traditional thoracotomy patients with traumatic hemopneumothorax clinical data were retrospectively analyzed. Results： ATS group, the cure rate was 98. 82% ; TH group, the cure rate was 97.40%, the cure rate of t, so groups of patients showed no si^ficant difference （ P 〉 0. 05） ; the VATS patients operative time, postoperative drainage tube in- dwelling time after activities away from the bed time and postoperative hospital stay were shorter than these in the TH group （ P 〈 0. 05 ）; blood loss, postoperative drainage, postoperative meperidine consumption were less than the TH group （P 〈 0. 05 ）. Conclusion ： VATS efficacy, less invasive, rapid postoperative recovery, high security and ＇other features, can significantly shorten the time of the patient＇s surgery and hospital stay, improve patients＂ clinical outcomes and is worthy of clinical application.

关 键 词：胸外伤 血气胸 电视胸腔镜 手术 

分 类 号：R655[医药卫生—外科学]