胸腔镜下手术治疗肺大疱破裂并发自发性气胸的临床价值研究  

Clinical value of video-assisted thoracoscopic surgery in treatment of pulmonary bulla rupture complicated with spontaneous pneumothorax

作　　者：黄楚[1] 廖武华 

机构地区：[1]广东省信宜市人民医院普通普胸外科,广东信宜525300

出　　处：《中国医药科学》2017年第20期202-205,共4页China Medicine And Pharmacy

摘　　要：目的研究讨论胸腔镜下手术治疗肺大疱疱破裂并发自发性气胸的临床治疗效果及价值所在。方法选择2011年1月~2016年12月在我院住院治疗的肺大疱破裂并发自发性气胸患者154例作为本次实验的对象,将所选取的患者随机分为两组,即对照组和观察组,两组患者均为77例,对照组采用传统的开胸手术进行治疗,观察组对其采取胸腔镜手术进行治疗,观察两组患者的治疗效果。结果采取胸腔镜手术治疗的患者,治疗效果显著,患者的手术时间、住院时间、住院费用、手术中的出血量、以及手术后拔管的时间均比对照组的要好,两组患者的各项指标比较差异有统计学意义(P<0.05)。结论对于肺大疱破裂并发自发性气胸患者的治疗,采取胸腔镜下手术进行治疗,所取得的治疗效果显著,不但可以减少患者的住院时间,节约住院费用,从而减轻患者的经济压力,而且安全、有效、不会给患者造成较大的创伤,值得在临床治疗过程中应用。Objective To study and discuss the clinical effect and value of video-assisted thoracoscopic surgery in treatment of pulmonary bulla rupture complicated with spontaneous pneumothorax. Methods 154 patients with pulmonary bulla rupture complicated with spontaneous pneumothorax from January 2011 to December 2016 in our hospital were selected as the objeet.Thepatients were randomly divided into the control group and the observation group,77 cases in each group.The control group was treated with traditional thoracotomy,and the observation group was treated withvideo-assisted thoracoscopic surgery.The curative effect of the two groups was observed. Results The treatment of thoracoscopic surgery is effective.The operation time,the time of hospitalization,the cost of hospitalization,the amount of bleeding during operation,and the time of extubation were better in the observation group than that in the control group.The indexes of the two groups were statistically different（P 〈 0.05）. Conclusion The effect of video-assisted thoracoscopic surgery for patients with spontaneous rupture of pulmonary bulla complicated with spontaneous pneumothoraxis is significant,not only can reduce hospitalization time and save the cost of hospitalization,but also reduce the patient＇ s＇economic pressure,and it is safe,effective,and minimally invasive,it is worthy of application in the clinical course of treatment.

关 键 词：胸腔镜下手术 肺大疱破裂 自发性气胸 治疗价值 

分 类 号：R655[医药卫生—外科学]