经剑突下单操作孔电视胸腔镜手术对自发性气胸的疗效  

Efficacy of subxiphoid single-port VATS in the treatment of spontaneous pneumothorax

作　　者：钟健[1] 奚雷[1] 张强[1] 陈亮[1] 王滨[1] 

机构地区：[1]南京市胸科医院胸心外科,江苏省210029

出　　处：《江苏医药》2016年第19期2136-2138,共3页Jiangsu Medical Journal

摘　　要：目的比较经剑突下单操作孔电视胸腔镜手术与传统电视胸腔镜手术对自发性气胸的疗效。方法回顾性分析15例经剑突下单操作孔电视胸腔镜手术(观察组)和49例传统电视胸腔镜手术(对照组)治疗自发性气胸患者的临床资料。结果观察组手术时间较对照组长[(68.74±12.08)min vs.(43.67±6.09)min](P<0.05),术后疼痛评分较对照组低[(2.31±1.35)分vs.(3.40±1.38)分](P<0.05)。两组术中出血量、术后胸腔引流量、术后住院时间、胸管拔除时间及住院总费用差异均无统计学意义(P>0.05)。结论经剑突下单操作孔电视胸腔镜手术治疗自发性气胸疗效可靠。Objective To compare the efficacy of subxiphoid single-port video-assisted thoracic surgery （VATS） with conventional VATS in the treatment of spontaneous pneumothorax .Methods The clinical data of 64 patients with spontaneous pneumothorax undergoing subxiphoid single-port VATS（group A ,15 cases） or conventional VATS （group B ,49 cases） were retrospectively analyzed . Results The operation time was longer [（68.74 ± 12.08） min vs .（43.67 ± 6.09） min] ,while postoperative pain score was lower [（2.31 ± 1.35）points vs .（3.40 ± 1.38）points] in group A than those in group B （ P〈0 .05 ） .There were no significant differences in intraoperative blood loss , postoperative chest drainage ,postoperative hospital stay ,chest tube removal time and total hospitalization expenses between two groups （ P〉0 .05 ） .Conclusion The efficacy of subxiphoid single-port VATS is reliable in the treatment of spontaneous pneumothorax .

关 键 词：电视胸腔镜手术 自发性气胸 

分 类 号：R655[医药卫生—外科学]