胸腔镜与传统开胸术治疗创伤性血气胸的临床疗效分析  

Analysis Clinical Curative Efficacy of Thoracoscopic Surgery and Conventional Thoracotomy in Treatment of Traumatic Hemopneumothorax

作　　者：张典[1] 张晓[1] 余向东[1] 邱宁[1] 郎保平[1] 肖鹏[1] 靳超[1] 张超[1] 薛金良 蔡秋霞[1] 

机构地区：[1]郑州大学附属洛阳中心医院胸外科,471000

出　　处：《中国继续医学教育》2016年第6期111-112,共2页China Continuing Medical Education

摘　　要：目的研究分析为创伤性血气胸患者实施传统开胸术与胸腔镜术治疗的效果。方法在我院治疗的创伤性血气胸患者中选取60例作为研究对象,将其中30例作为对照组,另外30例作为观察组。对照组实施传统开胸术治疗,观察组实施胸腔镜术治疗,对比两组患者的手术需时、术中出血量、引流时间、引流量以及恢复时间等手术情况,以及并发症的发生情况。结果两组患者的并发症发生率比较,差异较小(P>0.05);但观察组手术需时、引流时间以及恢复时间,均短于对照组;术中出血量以及引流量,均少于对照组,差异均显著(P<0.05)。结论创伤性血气胸患者实施胸腔镜术治疗,能够效改善手术情况,加快术后恢复,治疗效果较佳。Objective The research and analysis effect of thoracotomy thoraeoseopy treatment for traumatic hemopneumothorax treated with traditional. Methods Selected 60 cases with traumatic hemopneumothorax in our hospital as the research object, 30 cases as control group, another 30 cases as the observation group, the control group received traditional thoraeotomy, the observed group implementation of video assisted thoracoscopic surgery, compared surgery, intraoperative blood loss, time of drainage, drainage and recovery time etc. operation, and complications of two groups. Results Patients in the two groups were compared the incidence of complication and little difference （P〉0.05）, but the observation group of patients with surgery, drainage time and recovery time were shorter than the control group, intraoperative blood loss and drainage were less than the control group, the differences were significant （P〈0.05）. Conelusion For patients with traumatic hemopneumothorax implementation of thoracoscopic resection, can effectively improve operation and accelerated after the patients recovery, treatment effect is good.

关 键 词：创伤性血气胸 传统开胸 胸腔镜 

分 类 号：R561.4[医药卫生—呼吸系统]