胸腔镜微创手术治疗自发性气胸的临床体会  

Clinical experience with minimally invasive thoracoscopic surgery for spontaneous pneumothorax

作　　者：崔文峰[1] 

机构地区：[1]商丘市第一人民医院胸外科,河南商丘476100

出　　处：《医药论坛杂志》2016年第5期46-47,共2页Journal of Medical Forum

摘　　要：目的探讨胸腔镜微创手术治疗自发性气胸的临床效果。方法选择2013年7月至2015年12月在商丘市第一人民医院治疗的94例自发性气胸患者,根据手术方式的不同进行随机分组,分为对照组和实验组各47例,对照组患者应用开胸手术治疗,实验组患者给予胸腔镜微创手术治疗,比较两组患者治疗效果。结果实验组患者手术时间、住院时间分别为(45.82±7.91)min、(10.41±2.61)d,同对照组比较明显缩短,术中出血量、胸腔引流量和并发症发生率显著降低,差异具有统计学意义(P<0.05)。结论自发性气胸患者实施胸腔镜微创手术可明显缩短治疗时间,降低并发症发生率,其具有创伤小、安全性高、疗效显著等特点,临床值得推广应用。Objective To investigate the thoracoscopic minimally invasive surgery for the clinical effect of spontaneous pneumothorax. Methods From July 2013 to December 2015 in 94 cases of spontaneous pneumothorax my hospital treat- ment, depending on the mode of surgery were randomized, divided into control and experimental group, 47 cases in the control group patients thoracotomy surgery, the experimental group were treated with minimally invasive laparoscopic sur- gery, treatment effect were compared. Results The experimental group were operative time, hospital stay were （45. 82 ± 7.91） min, （10. 41±2. 61） d, with the control group was significantly shorter, blood loss, chest drainage and the com- plication rate was significantly lower, the difference statistically significant （P 〈 0. 05）. Conclusion For patients with spontaneous pneumothorax thoracoscopy minimally invasivc surgery can significantly shorten treatment time and reduce the incidence of complications, having a trauma, safe, effective and notable features, worthy of clinical application.

关 键 词：胸腔镜 自发性气胸 微创手术 

分 类 号：R655[医药卫生—外科学]