胸腔镜治疗胸部损伤的疗效观察  

Efficacy Observation of Thoracoscopic in the Treatment with Thoracic Trauma

作　　者：林凌[1] 刘金波[1] 陈振岗[1] 史学军[1] 

机构地区：[1]天津医科大学附属宝坻人民医院,天津市301800

出　　处：《医学理论与实践》2015年第12期1557-1558,1565,共3页The Journal of Medical Theory and Practice

基　　金：天津市卫生局公关项目<提高严重胸部损伤病人治疗效果相关因素研究>(编号:12KG140)

摘　　要：目的:探讨电视胸腔镜手术(VATS)在治疗胸部损伤中的疗效。方法:选取148例胸部损伤患者,按随机数字表法分为观察组和对照组,每组74例。观察组予胸腔镜治疗,对照组予传统方法治疗。对比两组患者的切口长度、引流量、引流时间、输血量以及术后第3天疼痛程度。结果:观察组切口长度显著短于对照组(P<0.05);输血量和引流量均显著少于对照组(P<0.05);术后第3天视觉模拟评分(VAS)低于对照组(P<0.05)。结论:胸腔镜在胸部损伤治疗过程中有直观性强、创伤小、并发症少、恢复快的优势。Objective：To investigate the clinical efficacy of video-assisted thoracic surgery （VATS）in the diagnosis and treatment of chest trauma. Methods.. 148 cases were randomly selected and divided into the observation group（n= 74） and control group（n= 74）by random number table. The observation group was treated with VATS and the control group was treated with traditional methods. Incision length, blood transfusion, closed drainage time, drainage, after the first three days of pain and other related indicators were compared between the two groups. Results.. Incision length of the observation group was significantly shorter than the control group（P〈0. 05）. Amount of blood transfusion and drainage of the observation group were significantly less than the control group（ P〈0. 05）. In the observation group patients after the first three days VAS score was lower than the control group（P〈0. 05）. Conclusion： VATS has the advantages of intuitive and strong, trauma, pain, faster recovery, shorter hospital stay, less closed thoracic drainage, fewer complications and so on in chest injury diagnosis and treatment.

关 键 词：胸腔镜 胸部损伤 

分 类 号：R655[医药卫生—外科学]