对比分析胸腔镜辅助下小切口与传统开胸手术治疗胸外伤的临床效果  

Comparative Analysis of the Clinical Effects of Thoracoscopic Assisted Small Incision and Traditional Open Chest Surgery in the Treatment of Thoracic Trauma

作　　者：牙俊锋 范玉刚 何宏伟 马存乾 吴鹏[1] YA Junfeng;FAN Yugang;HE Hongwei;MA Cunqian;WU Peng(Department of Thoracic Cardiovascular Surgery,Shanghai First People's Hospital Jiuquan Hospital(Jiuquan People's Hospital),Jiuquan 735000,Gansu,China)

机构地区：[1]上海市第一人民医院酒泉医院(酒泉市人民医院)胸心血管外科,甘肃酒泉735000

出　　处：《世界复合医学》2024年第6期125-128,共4页World Journal of Complex Medicine

摘　　要：目的对比胸腔镜辅助下小切口手术和传统开胸手术治疗胸外伤的临床效果。方法选择2023年1月—2024年1月酒泉市人民医院收治的80例胸外伤患者为研究对象,根据手术方法不同分组,其中接受传统开胸手术的40例为对照组,接受胸腔镜辅助下小切口手术的40例为观察组,对比两组手术相关指标、凝血功能指标、术后并发症。结果观察组患者术中失血量和输血量均低于对照组,手术时间和术后住院时间均短于对照组,差异有统计学意义(P均<0.05)。术后1周,两组凝血酶原时间均长于术前,活化部分凝血酶原时间均短于术前,D-二聚体水平均高于术前,血小板数目均低于术前,差异有统计学意义(P均<0.05);但观察组各项指标变化幅度均更小,差异有统计学意义(P均<0.05)。观察组术后并发症发生率为7.50%(3/40),低于对照组的25.00%(10/40),差异有统计学意义(χ^(2)=4.501,P<0.05)。结论在胸外伤手术治疗中,胸腔镜辅助下小切口手术相对于传统开胸手术效果更好,安全性更高。Objective To compare the clinical effects of thoracoscopic small-incision surgery and traditional thoracotomy in the treatment of thoracic trauma.Methods Eighty patients with thoracic trauma admitted to Jiuquan People's Hospital from January 2023 to January 2024 were selected as the study objects,and divided into groups according to different surgical methods,including 40 patients who received traditional open chest surgery as the control group and 40 patients who received thoracoscopic assisted small incision surgery as the observation group.Surgery-related indexes,coagulation function indexes and postoperative complications of the two groups were compared.Results The intraoperative blood loss and transfusion volume in the observation group were lower than those in the control group,and the operation time and postoperative hospitalization time were shorter than those in the control group,and the differences were statistically significant(all P<0.05).One week after surgery,the prothrombin time in both groups was longer than before surgery,the activated partial prothrombin time was shorter than before surgery,the D-dimer level was higher than before surgery,and the platelet number was lower than before surgery,and the differences were statistically significant(all P<0.05).However,the change range of indexes in the observation group were smaller than the of the control group,and the differences were statistically significant(all P<0.05).The incidence of postoperative complications in the observation group was 7.50%(3/40),which was lower than that 25.00%(10/40)in the control group,and the difference was statistically significant(χ^(2)=4.501,P<0.05).Conclusion In the surgical treatment of thoracic trauma,thoracoscopic assisted small incision surgery is more effective and safer than traditional open chest surgery.

关 键 词：胸外伤 传统开胸手术 胸腔镜辅助下小切口手术 

分 类 号：R655[医药卫生—外科学]