腋下小切口应用于自发气胸手术中的临床应用  

The Clinical Application of Subaxillary Small Incision Apply in Spontaneous Pneumothorax Operation

作　　者：李东旭[1] 

机构地区：[1]黑龙江省哈尔滨市第一医院胸外科,150010

出　　处：《中国继续医学教育》2015年第19期80-81,共2页China Continuing Medical Education

摘　　要：目的：探讨治疗自发性气胸的过程中应用腋下小切口的效果。方法随机选取2013年1月～2015年1月于我院治疗自发性气胸的患者130例分为2组，每组65例。研究组采用腋下小切口手术方法；对比组采用腹腔镜下手术方法。结果研究组术中出血量、术后引流量以及住院时间低于对比组；研究组患者术后5个月复发率为4.62%低于对比组10.77%，P＜0.05，差异具有统计学意义。结论在治疗自发性气胸时，腋下小切口是一种疗效较好的辅助手段，能够提升患者的治疗效果，降低复发几率。Objective To explore the effect of Subaxillary small incision used in spontaneous pneumothorax operation. Methods Selected 130 cases with spontaneous pneumothorax from January 2013 to January 2015 randomly divided into two groups, each group had 65 cases. The study group adopt subaxillary small incision surgical method, the comparisongroup adopt laparoscopic surgery method. Results The study group’s team intraoperative blood loss, postoperative patients with lfow rate and length of hospital stay were lower than the comparison group, and the study group 5 months postoperatively in patients with recurrence rate was 4.62%lower than the control group 10.77%, P〈0.05, had difference statistically significance. Conclusion In the treatment of spontaneous pneumothorax, subaxillary small incision is a means for better curative effect, can improve the treatment effect of patients, reduce the risk of recurrence.

关 键 词：自发气胸 腋下小切口 胸腔镜手术 效果 

分 类 号：R561.4[医药卫生—呼吸系统]