胸腔镜治疗老年自发性气胸的手术方式及效果探究  

Investigation on surgical approach and effect of thoracoscopy in the treatment of elderly spontaneous pneumothorax

作　　者：彭殿松[1] 郭磊[1] 

机构地区：[1]青岛市第三人民医院普通外科,266041

出　　处：《中国实用医药》2017年第31期9-10,共2页China Practical Medicine

摘　　要：目的探讨胸腔镜治疗老年自发性气胸的手术方式及效果。方法 70例老年自发性气胸患者,按照随机原则分为常规组和胸腔镜组,各35例。常规组患者接受传统开胸手术治疗,胸腔镜组患者接受胸腔镜治疗。比较两组患者治疗效果、手术切口长度、平均出血量、术后胸腔引流量、引流时间以及患者肺部感染发生率。结果胸腔镜组患者治疗总有效率为97.14%,高于常规组的77.14%,差异具有统计学意义(P<0.05)。胸腔镜组患者肺部感染发生率为8.57%,低于常规组的28.57%,差异具有统计学意义(P<0.05)。胸腔镜组患者手术切口长度短于常规组,平均出血量、术后胸腔引流量均少于常规组,引流时间短于常规组,差异均具有统计学意义(P<0.05)。结论胸腔镜治疗老年自发性气胸的手术效果确切,可有效改善患者病情和预后,缩小手术切口,减少出血量和引流量,降低肺部感染率,值得临床推广。Objective To investigation on surgical approach and effect of thoracoscopy in the treatment of elderly spontaneous pneumothorax. Methods A total of 70 elderly patients with spontaneous pneumothorax were randomly divided into conventional group and thoracoscopy group, with 35 cases in each group. The conventional group was treated with traditional thoracotomy, and the thoracoscopy group was treated with thoracoscopy. Comparison were made on treatment effect, length of incision, average bleeding volume, postoperative thoracic drainage, drainage time and incidence of pulmonary infection between two groups, Results Thoracoscopy group had higher total treatment effective rate as 97.14% than 77.14% in the conventional group, and the difference was statistically significant （P〈O.05）. Thoracoscopy group had lower incidence of pulmonary infection as 8.57% than 28.57% in the conventional group, and the difference was statistically significant （P〈0.05）. Thoracoscopy group had Shorter length of incision than the conventional group, less average bleeding volume, postoperative thoracic drainage than the conventional group, and shorter drainage time than the conventional group, and their difference was statistically significant （P〈0.05）. Conclusion Thoracoscopy shows affirmative effect in treating elderly spontaneous pneumothorax, and it can effectively improve the patient＇ s condition and prognosis, smaller surgical incision, reduce bleeding and drainage volume, and lower the incidence of pulmonary infection. It is worthy of clinical promotion.

关 键 词：胸腔镜 老年自发性气胸 手术方式 效果 

分 类 号：R655[医药卫生—外科学]