单操作孔胸腔镜手术治疗自发性气胸的疗效研究  

A Single Operation Hole Thoracoscopic Surgery for the Treatment of Spontaneous Pneumothorax

作　　者：李立军[1] 孙涛[1] LI Li-jun;SUN Tao(The People＇s Hospital of Nanpi County, Cangzhou, Hebei, 061500)

机构地区：[1]河北省南皮县人民医院,河北沧州061500

出　　处：《智慧健康》2018年第2期114-115,共2页Smart Healthcare

摘　　要：目的对治疗自发性气胸使用单操作孔胸腔镜手术治疗的实际效果进行研究。方法选择2013年4月至2017年4月在我院进行治疗的自发性气胸患者共120例作为研究对象,将所有患者随机分为观察组、对照组,对照组进行三孔法胸腔镜手术治疗,观察组进行单操作孔胸腔镜手术治疗,将两组患者的各项手术指标进行分析对比。结果两组患者的手术时间、住院时间、手术后胸腔引流时间、并发症情况差异细微(P>0.05),差异无统计学意义;观察组手术出血量以及手术后肢体关节恢复时间明显低于对照组(P<0.05),差异有统计学意义。结论治疗自发性气胸中使用单操作孔胸镜手术治疗有显著效果,更利于患者恢复,安全性更高,在临床治疗中值得推广应用。Objective To study the practical effect of single hole thoracoscope in the treatment of spontaneous pneumothorax. Methods A total of 120 patients with spontaneous pneumothorax who were treated in our hospital from April 2013 to April 2017 were selected as the research objects. All the patients were randomly divided into observation group, control group. The control group was treated with three hole thoracoscopic surgery, the observation group were operated single-hole thoracoscopic surgery, the two groups of patients were analyzed and compared the various surgical indicators. Results There was no significant difference in operative time, hospitalization time, postoperative chest drainage time and complications between the two groups（P〉0.05）, but the amount of bleeding in the observation group and the recovery time of limb joint after operation were significantly lower than that of the control group（P〈0.05）, and the difference was statistically significant. Conclusion The treatment of spontaneous pneumothorax using a single operating hole chest surgery has a significant effect, more conducive to the recovery of patients with higher safety, worthy of promotion and application in clinical treatment.

关 键 词：单操作孔胸腔镜手术 自发性气胸 安全性 

分 类 号：R655[医药卫生—外科学]