胸腔镜与腋下小切口治疗自发性气胸的对比分析  

Comparative analysis of thoracoscopic and subaxillary minithoracotomy for spontaneous pneumothorax

作　　者：王志强[1] 徐瑞剑[1] 何俊明[2] 吕德胜[2] 

机构地区：[1]包头市九原区医院胸外科,内蒙古包头014060 [2]大连医科大学附属第二医院胸外科

出　　处：《中国冶金工业医学杂志》2015年第2期135-137,共3页Chinese Medical Journal of Metallurgical industry

摘　　要：目的比较胸腔镜与腋下小切口两种手术方式治疗自发性气胸的疗效。方法对我科通过2009年3月至2013年3月胸腔镜手术治疗的自发性气胸患者52例作为研究组,按1∶2比例随机抽取同时期的腋下小切口手术104例作为对照组,通过观察其手术时间、术后带管时间、术后住院时间、手术费用、术后应用杜冷丁止痛率、术后并发症发生率、术后复发率等指标评价两种手术方式的疗效。结果 156例患者手术均取得成功,无围术期死亡,两组患者手术顺利,均治愈出院。胸腔镜组在术后止痛药物用量方面少于腋下小切口组(P<0.05),而住院费用腋下小切口组明显低于胸腔镜组(P<0.05)。结论两种手术方式治疗自发性气胸均安全有效,胸腔镜治疗自发性气胸疼痛轻,止痛药物应用少,腋下小切口组既微创又经济。Objective To compare the effects of thoracoscopic and subaxillary minithoracotomy for spontaneous pneumothorax. Methods In our hospital from March 2009 to March 2013,52 cases underwent thoracoscopic operation were collected as the study group. Meanwhile, 104 cases twice that in the study group underwent subaxillary minithoracotomy were selected randomly as the control group. Therapeutic effects were evaluated by the indexes such as the operation time, postoperative intubation time, postoperative hospitalization time, cost of operation, postoperative analgesic rate by dolantin, incidence of postoperative complications, postoperative recurrence rate. Results There was no perioperative death in the 2 groups. All cases were underwent successful operations and cured. The amount of the postoperative analgesic drug in the study group was less than that in the control group （P〈0.05） ,while the hospitalization expense in control group was significantly lower than that in the study group （P〈0.05）. Conclusion The two operation modes are safe and effective in treating spontaneous pneumothorax. Less pain and application of analgesic drugs can be found in thoracoscopic operation, while less expense and microinvasion with subaxillary minithoraeotomy.

关 键 词：电视胸腔镜 腋下小切口 自发性气胸 外科治疗 

分 类 号：R655[医药卫生—外科学]