电视胸腔镜单操作孔与双操作孔对自发性血气胸疗效观察  

Observation on the Curative Effect of Single and Dual Operation Ports Video- Assisted Thoracospic Surgery in Treating Spontaneous Hemopneumothorax

作　　者：陈国祥[1] 华平[2] 陈炬[2] 谭锦灿[1] 

机构地区：[1]广东医学院附属中山医院胸心外科,528415 [2]中山大学孙逸仙纪念医院胸心外科,510120

出　　处：《医学研究杂志》2014年第10期162-163,共2页Journal of Medical Research

摘　　要：目的 探讨电视胸腔镜单操作孔与双操作孔对自发性血气胸的疗效.方法 回顾性分析2004 ～ 2013年在笔者医院行胸腔镜手术治疗的62例自发性血气胸患者的临床资料,按照不同手术治疗方式分为腔镜双操作孔组38例及单操作孔组24例,对两组患者术中、术后情况进行综合比较.结果 两组患者均顺利完成手术,两组手术时间及术中出血量比较,差异无统计学意义（P＞0.05）;两组术后引流置管时间、胸腔引流量、VAS及住院时间4项指标比较均有统计学差异（P＜0.05）.结论 电视胸腔镜单操作孔治疗自发性血气胸创伤小、美观,值得临床推广应用.Objective To investigate the effect of single and dual operation ports video-assisted thoracic surgery（VATS）in treating spontaneous hemopneumothorax.Methods Clinical data of 62 cases spontaneous hemopneumothorax patients by VATS in our hospital from 2004 to 2013 were retrospectively analyzed,and divided into single operation port VATS group 24cases and dual operation ports group （38 cases）.Results Patients in two groups were successfully operated.There were no significant in intraoperative blood loss and operation time in Both groups （P 〉 0.05）.There was significant differencee in drainage catheter time,chest drainage,VAS and postoperative hospitalization time between two groups（P 〈 0.05）.Conclusion Single operation port video-assisted thoracospic surgery in treating spontaneous has many advantages such as small trauma,beautiful incision and is worthwhile for spreading in clinical practice.

关 键 词：电视胸腔镜手术 自发性血气胸 

分 类 号：R655[医药卫生—外科学]