双孔电视胸腔镜治疗继发性自发性气胸的临床分析  

Clinical analysis of dual-port video-assisted thoracic surgery for secondary spontaneous pneumothorax

作　　者：董永强[1] 朱水波[1] 

机构地区：[1]广州军区武汉总医院心胸外科

出　　处：《临床外科杂志》2015年第5期373-375,共3页Journal of Clinical Surgery

摘　　要：目的：探讨双孔电视胸腔镜（video-assisted thoracosopic surgery，VATS）手术治疗继发性自发性气胸（secondary spontaneous pneumothorax，SSP）的中临床效果及有效性。方法回顾性分析48例继发性自发性气胸患者的临床资料，将48例患者分为开胸手术组和双孔电视胸腔镜组，比较两组患者的手术时间、术后引流时间及术后住院时间。结果两组患者均手术成功，无再次手术病理，双孔 VATS 组无1例中转开胸，无严重并发症发生。双孔 VATS 组的平均手术时间为（67．9±7．2）min、平均术后引流时间为（3．2±0．9）d，平均术后住院时间为（7．2±1．4）d；开胸手术组分别为（73．3±6．4）min、（5．0±1．3）d 和（8．7±1．5）d，两组比较差异有统计学意义（P ＜0．05）。结论与开胸方式比较，双孔 VATS 法术后引流时间、住院时间均明显缩短，患者术后的满意度更高，上肢运动影响小，术后恢复更快。Objective To evaluated clinical effects and effectiveness of dual-port video-assisted thoracic surgery（VATS）for secondary spontaneous pneumothorax.Methods The clinical data of 48 pa-tients with secondary spontaneous pneumothorax who underwent open thoracotomy（n =18）or dual-port VATS（n =30）were reviewed retrospectively.Mean operation time,mean postoperative drainage period and mean postoperative hospital stay between the two groups were compared.Results All surgeries were suc-cessfully performed without reoperation and severe complications.No patient was converted to thoracotomy in the VATS group.There were significant differences in mean operation time [（67.9 ±7.2）min vs （73.3 ±6.4）min],mean postoperative drainage period [（3.2 ±0.9）d vs（5.0 ±1.3）d],and mean postoperative hospital stay [（7.2 ±1.4）d vs（8.7 ±1.5）d]between the dual-port VATS and open thora-cotomy（P 〈0.05 ）.Conclusion Dual-port video-assisted thoracic surgery can reduce postoperative drainage period and postoperative hospital stay and increase satisfaction.It has little influence on upper limb movement and improves postoperative recovery.

关 键 词：继发性自发性气胸 双孔电视胸腔镜治疗 开胸治疗 

分 类 号：R655[医药卫生—外科学]