电视胸腔镜手术治疗外伤性血气胸临床疗效探讨  

The clinical effect of TV thoracoscopic surgery for traumatic hematopneumothorax

作　　者：赖小刚[1] 刘方绪 王宪东[1] 刘大治[1] Lai Xiao-gang;Liu Fang-xu;Wang Xian-dong;Liu Da-zhi(The people's liberation army 202 hospital Chest cardiac, Shenyang, Liaoning, 110812, China)

机构地区：[1]解放军第202医院胸心外科,辽宁沈阳110812

出　　处：《当代医学》2017年第33期30-32,共3页Contemporary Medicine

摘　　要：目的探讨外伤性血气胸采用电视胸腔镜手术治疗的临床效果。方法按照治疗方法的不同,将本院收治的78例患者分为研究组(电视胸腔镜手术,n=39)与对照组(开胸手术,n=39)。对比两组治疗效果。结果研究组手术及术后恢复情况均优于对照组(P<0.05);术后第1天、第3天,研究组高敏C-反应蛋白(hs-CRP)水平低于对照组(P<0.05);术后第3天,研究组C-反应蛋白(CRP)水平低于对照组(P<0.05);术后1周,两组CRP水平均低于术后第3天(P<0.05);研究组并发症发生率均低于对照组(P<0.05)。结论外伤性血气胸采用电视胸腔镜手术治疗的效果理想。Objective To investigate the clinical effect of traumatic hemopneumothorax by video-assisted thoracoscopic surgery.Methods According to different treatment methods,78patients admitted to our hospitalwere divided into study group(video-assisted thoracoscopic surgery)and control group(thoracic surgery).The therapeutic effects of the two groups were compared.Results The operation and postoperative recovery of the study group were better than those of the control group(P<0.05);after the operation,1d,3d,highly sensitive C-reactive protein(hs-CRP)of the study group were lower than those of the control group(P<0.05);after the3d,C-reactive protein(CRP)of the study group was lower than control group(P<0.05);1weeks after operation,the CRP level of two groups were lower than that of3d after operation(P<0.05).Conclusion Traumatic hemopneumothorax by video-assisted thoracoscopic surgery in the treatment of ideal effect.

关 键 词：外伤性血气胸 电视胸腔镜手术 开胸手术 

分 类 号：R655[医药卫生—外科学]