单孔胸腔镜在自发性气胸治疗中的应用研究  

Application of Single-port Thoracoscopy in the Treatment of Spontaneous Pneumothorax

作　　者：江振强 彭晓婕 邬艺忠 魏才强 JIANG Zhenqiang;PENG Xiaojie;WU Yizhong;WEI Caiqiang(Department of Thoracic Surgery,Heyuan People's Hospital,Heyuan,Guangdong Province,517000 China)

机构地区：[1]河源市人民医院胸外科,广东河源517000

出　　处：《中外医疗》2023年第10期94-97,共4页China & Foreign Medical Treatment

基　　金：河源市社会发展科技计划专题(180625170221988)。

摘　　要：目的探讨单孔胸腔镜在自发性气胸治疗中的应用效果。方法随机选择河源市人民医院2020年6月—2022年6月收治的自发性气胸患者50例为研究对象,依据随机数表法随机分为单孔胸腔镜组(n=22)与电视胸腔镜手术(video-assisted thoracoscopic surgery,VATS)组(n=28)。单孔胸腔镜组采用单孔胸腔镜下肺大疱切除术治疗,VATS组采用电视胸腔镜下肺大疱切除术治疗。记录两组患者围术期指标,术后24 h和术后72 h疼痛视觉模拟(VAS)评分,术后引流量、术后引流时间和术后住院时间,术后并发症发生情况。结果单孔胸腔组术中出血量(18.98±4.35)mL少于VATS组(27.37±5.16)mL,且手术时间(25.13±4.82)min短于VATS组(34.07±6.57)min,差异有统计学意义(t=6.107、5.347,P<0.05)。单孔胸腔组术后24、72 hVAS评分(3.16±0.58)分、(2.74±0.38)分低于VATS组(4.25±0.71)分、(3.41±0.45)分,差异有统计学意义(t=5.830、5.589,P<0.05)。单孔胸腔组术后引流量(160.08±21.32)mL少于VATS组(218.49±32.67)mL,术后引流时间(2.71±0.45)d短于VATS组(3.49±0.52)d,术后住院时间(3.67±1.02)d短于VATS组(5.01±1.34)d,差异有统计学意义(t=7.252、5.580、3.886,P<0.05)。单孔胸腔组术后并发症发生率(9.09%)小于VATS组(35.71%),差异有统计学意义(χ^(2)=4.788,P<0.05)。结论单孔胸腔镜在自发性气胸治疗中的治疗效果明显,可减少术中出血量,减少术后引流量,减轻疼痛,及降低术后并发症发生率。Objective To explore the application effect of single-port thoracoscopy in the treatment of spontaneous pneumothorax.Methods 50 patients with spontaneous pneumothorax admitted to Heyuan People's Hospital from June 2020 to June 2022 were selected randomly as the research subjects.They were randomly divided into a single hole thoracoscopy group(n=22)and a video assisted thoracoscopic surgery(VATS)group(n=28)using a random number table method.The single hole thoracoscopy group was treated with pulmonary bullectomy under single hole thoracoscopy,while the VATS group was treated with pulmonary bullectomy under television thoracoscopy.Record perioperative indicators,Visual Analogue Scale(VAS)scores at 24 h and 72 h after surgery,postoperative drainage volume,postoperative drainage time,and postoperative hospital stay for two groups of patients,as well as the incidence of postoperative complications.Results The intraoperative bleeding volume(18.98±4.35)mL in the single hole thoracic group was lower than that in the VATS group(27.37±5.16)mL,and the surgical time(25.13±4.82)min was shorter than that in the VATS group(34.07±6.57)min,and the difference was statistically significant(t=6.107,5.347,P<0.05).The VAS score at 24 h(3.16±0.58)points and 72 hours(2.74±0.38)points after surgery in the single hole thoracic group were lower than those in the VATS group(4.25±0.71)points and(3.41±0.45)points,and the difference was statistically significant(t=5.830,5.589,P<0.05).The postoperative drainage volume(160.08±21.32)mL in the single hole thoracic group was less than that in the VATS group(218.49±32.67)mL,the postoperative drainage time(2.71±0.45)d was shorter than that in the VATS group(3.49±0.52)d,and the postoperative hospitalization time(3.67±1.02)d was shorter than that in the VATS group(5.01±1.34)d,and the difference was statistically significant(t=7.252,5.580,3.886,P<0.05).The incidence of postoperative complications in the single hole thoracic group(9.09%)was lower than that in the VATS group(35.71%),and the

关 键 词：单孔胸腔镜 自发性气胸 应用效果 

分 类 号：R4[医药卫生—临床医学]