人工气胸联合单腔气管插管胸腔镜微创手术治疗手汗症患者的临床效果  

Clinical Effect of Artificial Pneumothorax Combined with Single Cavity Tracheal Intubation and Thoracoscopic Minimally Invasive Surgery in the Treatment of Patients with Hand Hidrosis

作　　者：张名文 朱美婷 梁涛 邓江波[1] 谭军源 范奕送 ZHANG Mingwen;ZHU Meiting;LIANG Tao;DENG Jiangbo;TAN Junyuan;FAN Yisong(Department of Cervical and Thoracic Surgery,Yingde People’s Hospital,Qingyuan 513000,China)

机构地区：[1]广东省英德市人民医院颈胸外科,广东清远513000

出　　处：《中国伤残医学》2024年第14期46-49,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨人工气胸联合单腔气管插管胸腔镜微创手术治疗手汗症患者的临床效果。方法:选取2019年2月—2024年2月英德市人民医院收治的60例手汗症患者为研究对象,按随机数字表法将其分为对照组和联合组,各30例。对照组接受双腔气管插管胸腔镜微创手术,联合组行人工气胸联合单腔气管插管胸腔镜微创手术。比较两组治疗效果、围手术期指标、生活质量及并发症发生情况。结果:两组患者治疗有效率均为100.00%。联合组术中出血量少于对照组,切口总长度、手术时间和住院时间均短于对照组,术后6 h疼痛程度评分低于对照组,差异均有统计学意义(P<0.05)。术后1个月,联合组生活质量评分低于对照组,差异有统计学意义(P<0.05)。术后,联合组并发症发生率为10.00%,相较于对照组的15.00%,差异无统计学意义(P>0.05)。结论:手汗症患者采用人工气胸联合单腔气管插管胸腔镜微创手术进行治疗,可减轻术中损伤及术后疼痛程度,缩短患者恢复时间,提升患者的生活质量,具备一定的安全性。Objective:To investigate the clinical effect of artificial pneumothorax combined with single cavity tracheal intubation and thoracoscopic minimally invasive surgery in the treatment of patients with hand hidrosis.Methods:A total of 60 patients with hand hidrosis admitted to Yingde People’s Hospital from February 2019 to February 2024 were selected as research objects.They were divided into a control group and a combination group according to random number table method,with 30 cases in each group.The control group was treated with double cavity tracheal intubation thoracoscopic minimally invasive surgery,the combined group was treated with artificial pneumothorax combined with single cavity tracheal intubation thoracoscopic minimally invasive surgery.The therapeutic effect,perioperative indexes,quality of life and complications were compared between the two groups.Results:The effective rate of treatment in both groups was 100.00%.The total length of incision,operation time and hospital stay in the combined group were shorter than those in the control group,the score of pain degree at 6 h after surgery was lower than that in the control group,with statistical significance(P<0.05).One month after operation,the life quality score of the combined group was lower than that of the control group,the difference was statistically significant(P<0.05).After operation,the incidence of complications in the combined group was 10.00%,compared with 15.00%in the control group,the difference was not statistically significant(P>0.05).Conclusion:The use of artificial pneumothorax combined with single cavity tracheal intubation thoracoscopic minimally invasive surgery for patients with hand hidrosis can reduce the intraoperative injury and postoperative pain,shorten the recovery time of patients,improve the quality of life of patients,and have certain safety and effectiveness.

关 键 词：手汗症 胸腔镜手术 单腔气管插管 人工气胸 微创 

分 类 号：R655[医药卫生—外科学]