电视胸腔镜辅助手术治疗穿透性胸部损伤合并血气胸的临床疗效观察  

Evaluation of video-assisted thoracoscopic surgery in the treatment of traumatic hemopneumothorax in penetrating thoracic trauma

作　　者：宋波[1] 金健[1] 李蔼建[1] 王一帆[1] 张彦[1] 冷雪峰[1] 

机构地区：[1]成都大学附属医院胸心外科,四川成都610081

出　　处：《泸州医学院学报》2016年第4期369-372,共4页Journal of Luzhou Medical College

摘　　要：目的:探讨应用电视胸腔镜辅助手术(video-assisted thoracoscopic surgery,VATS)治疗穿透性胸部损伤合并血气胸的临床疗效。方法:将我院2000年1月至2015年12月收治的98例穿透性胸部损伤合并血气胸患者分为2组,其中52例患者采用电视胸腔镜手术(观察组)治疗,46例患者采用开放性手术(对照组)治疗。分别比较两组手术时间、术中出血量、术后引流量、术后留置胸管时间及术后住院时间的差异。结果:胸腔镜治疗组手术时间、术中出血量、术后引流量及术后留置胸管时间均较开放手术组低(P<0.05),但两组的术后住院时间无统计学差异(P>0.05)。结论:应用胸腔镜手术治疗穿透性胸部损伤合并血气胸,具有手术时间短、术中失血少以及术后留置胸管时间较短的优点,临床疗效明显。Objective： To evaluate the therapeutic efficacy of Video-Assisted Thoracoscopic Surgery（VATS）in the treatment of traumatic hemopneumothorax in penetrating thoracic trauma. Methods： From January 2000 to December 2015, 52 patients of traumatic hemopneumothorax with penetrating thoracic trauma were treated with VATS, while 46 patients were treated with traditional operation. The operation time, amount of bleeding, use of postoperative drainage, duration of tube indwelling and hospital stay between two groups were compared. Results：The operation time, amount of bleeding, use of post-operative drainage, and duration of tube indwelling were all significantly lower in VATS than in traditional operation（P〈0.05）. Conclusion： The results indicated that VATS has the merits of shorter operation time, shorter duration of tube indwelling and less bleeding compared with the traditional operation.

关 键 词：电视胸腔镜手术 穿透性胸部损伤 外伤性血气胸 微创治疗 

分 类 号：R641[医药卫生—外科学]