电视胸腔镜手术下应用切割缝合器和缝扎术治疗自发性气胸患者的疗效分析  

Evaluation and prognosis of patients with spontaneous pneumothorax patients treated by video-assisted thoracoscopic surgery and thoracoscopic assisted small incision thoracotomy

作　　者：肖鹏[1] 张晓[1] 靳超[1] Peng Xiao;Xiao Zhang;Chao Jin(Department of Thoracic Surgery,Luoyang Central Hospital Affiliated to Zhengzhou University,Luoyang,Henan 471009,China)

机构地区：[1]郑州大学附属洛阳市中心医院胸外科,河南洛阳471009

出　　处：《中国内镜杂志》2018年第4期46-50,共5页China Journal of Endoscopy

摘　　要：目的比较观察电视胸腔镜手术(VATS)下应用切割缝合器和缝扎术治疗自发性气胸(SP)患者的临床疗效。方法选取该院2016年1月-2016年12月SP患者58例为研究对象,按随机数字表法分为观察组(n=29)和对照组(n=29),观察组采用VATS下切割缝合器治疗,对照组则采用VATS下缝扎术治疗。对两组患者的手术治疗效果进行综合评价。结果 (1)观察组患者的手术时间和术中出血量低于对照组患者(P<0.05),手术费用高于对照组患者(P<0.05),术后置管时间和住院时间比较无差异(P>0.05);(2)两组患者术后并发症发生率无明显差异(P>0.05);(3)两组患者术后疼痛评分和止疼药服用时间差异无统计学意义(P>0.05);(4)观察组术后复发率明显低于对照组(P<0.05)。结论两种手术方法治疗SP均安全、有效,并且预后良好,但VATS下缝合器术中出血量和手术时间优于VATS下缝扎术,且术后复发率更低,而VATS下缝扎术手术费用低,在临床上可根据实际病情需要合理选择手术方法。Objective To compare the clinical efficacy of VATS and suture ligation in the treatment of SP patients under video-assisted thoracoscopic surgery(VATS).Methods From January to December in 2016,58 cases of spontaneous pneumothorax patients were selected as the research object,randomly divided into observation group(n=29)and control group(n=29),the observation group with VATS stapler treatment,the control group with VATS suture treatment.The effect of surgical treatment in the two groups was evaluated comprehensively.Results The operation time and intraoperative blood volume of the observation group were lower than those of the control group(P<0.05),the operation cost was higher than that of the control group(P<0.05),and there was no difference in postoperative tube time and hospitalization time(P>0.05);There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05);There was no significant difference between the two groups in the postoperative pain score and the duration of the use of the pain killer(P>0.05);The recurrence rate of the observation group was significantly lower than that of the control group(P<0.05).Conclusion The two kinds of surgical treatment of pneumothorax were safe and effective,and the prognosis is good,but the VATS suture bleeding volume and operation time is better than that of VATS suture,and lower recurrence rate,and VATS suture surgery is low,in the clinical operation method selection according to the actual condition need.

关 键 词：电视胸腔镜手术 自发性气胸 切割缝合器 缝扎术 

分 类 号：R561.4[医药卫生—呼吸系统]