胸腔镜治疗自发性气胸的疗效与术后肺部感染的相关性分析  

Clinical efficacy and lung infections in patients with spontaneous pneumothorax after video-assisted thoracic surgery

作　　者：林培锋[1] 张建海[1] 潘海鸥[1] 翁贤武[1] 梁诚之[1] 

机构地区：[1]瑞安市人民医院胸心外科,浙江瑞安325200

出　　处：《中华医院感染学杂志》2015年第20期4737-4739,共3页Chinese Journal of Nosocomiology

基　　金：浙江省科技计划基金资助项目(2013A432008)

摘　　要：目的分析胸腔镜手术治疗自发性气胸的疗效与术后发生肺部感染的相关性,探究其临床适用性。方法选择2012年6月-2014年3月接受治疗的140例自发性气胸患者作为研究对象,随机分为研究组和对照组各70例,对照组患者采用常规开胸手术进行治疗,研究组患者采用胸腔镜手术进行治疗,观察两组患者手术的临床疗效及并发症发生率。结果研究组患者的住院时间、手术时间、术中出血量、恢复时间、切口大小均显著优于对照组,两组比较,差异有统计学意义(P<0.05);研究组患者的疼痛程度、二次手术、气胸复发例数均显著优于对照组,两组比较,差异有统计学意义(P<0.05);研究组患者肺部感染等总并发症发生率显著低于对照组,治疗总有效率94.3%,显著高于对照组78.6%,两组比较差异均有统计学意义(P<0.05)。结论胸腔镜手术治疗自发性气胸的临床疗效显著,预后效果良好,复发率低,并发症少,适合临床长期推广应用。OBJECTIVE To investigate the clinical efficacy and lung infections in patients with spontaneous pneumo‐thorax after video‐assisted thoracic surgery and to explore the clinical applicability of the surgery .METHODS Totally 140 cases of spontaneous pneumothorax patients from Jun .2012 to Mar .2014 in our hospital were select‐ed and divided into the study group and the control group .The control group was treated with conventional thora‐cotomy and the study group was treated with video‐assisted thoracic surgery .Complications and clinical efficacy of the two groups were observed .RESULTS The hospital stays ,operative time ,intraoperative blood loss ,recovery time ,incision size were significantly better in the study group than in the control group （P〈0 .05） .The pain de‐gree ,second surgery ,pneumothorax recurrence rate were significantly better in the study group than in the con‐trol group （P〈0 .05） .Incidence of total complications such as lung infections was significantly lower in the study group than in the control group and the total effective rate was 94 .3% in the study group ,significantly higher than 78 .6% in the control group （P〈0 .05） .CONCLUSION The clinical efficacy of video‐assisted thoracic surgery for patients with spontaneous pneumothorax is good as it has lower recurrence rate and fewer complications ,which is suitable for long‐term clinical application .

关 键 词：胸腔镜手术 自发性气胸 肺部感染 

分 类 号：R563.1[医药卫生—呼吸系统]