腋下小切口与胸腔镜手术治疗青年自发性气胸的比较分析.docVIP

腋下小切口与胸腔镜手术治疗青年自发性气胸的比较分析 　　【摘 要】目的：比较腋下小切口（LAT）与电视胸腔镜技术（VATS）治疗青年自发性气胸的疗效。方法：将60例青年自发性气胸按手术方式分为LAT组（n=37）和VATS组（n=23），比较2组在手术时间、胸引管留置时间、术后住院时间、术后24h疼痛评分、镇痛药的用药时间及住院总费用的差异。结果：VATS组在手术时间、胸引管留置时间、术后住院时间及镇痛药的用药时间要短于LAT组，2组在术后24小时疼痛评分方面无差异（P0.05）。VATS组的住院总费用要高于LAT组。结论：VATS治疗青年自发性气胸，术后病人恢复更快，但费用较高。 　　【关键词】腋下小切口手术；电视胸腔镜手术；自发性气胸 　　【中图分类号】R56 【文献标识码】A 【文章编号】1004-7484（2013）05-0572-02 　　A Comparative Study of the Effect of Axillary Thoracotomy and Video-Assisted Thoracoscopic Surgery for Treatment of Young Spontaneous Pneumothorax 　　LIU Xian-gaung1，ZHANG Bo2 ，SUN Guang-ya1，SONG Lu-lu1，YANG Xing1 　　（1. JiLin Oilfield Hospital ，department of Cardiothoracic Breast Surgery，. Jilin，Songyuan 138000） 　　（2. JiLin Oilfield Hospital，department of stomatology，Jilin，Songyuan 138000） 　　【Abstract】Objective：To compare the Limited Axillary Thoracotomy （LAT） and Video-assisted thoracoscopic Surgery （VATS） for treatment of young spontaneous pneumothorax.Methods：From 2008 January to 2012 May，60 youth cases with spontaneous pneumothorax were divided into LAT group （n=37） and group VATS （n=23） according to the operation mode. The operation time，chest tube drainage time，postoperative hospital stay， pain score at the 24h after surgery，using time of analgesia and total hospitalization expenditures were compared between two groups.Results：The operation time，chest tube drainage time，postoperative hospital stay and using time of analgesia in VATS group was shorter than that of LAT group.There was no difference in the pain score at the 24h after surgery between the 2 groups.The total hospitalization expenditures of VATS group was higher than that of LAT group.Conclusion：The treatment of youth spontaneous pneumothorax by VATS gets sooner recovery.But the expenditures are more. 　　【Key words】Limited Axillary Thoracotomy；Video-assisted thoracoscopic surgery；Spontaneous pneumothorax 　　自发性气胸（spontaneous pneumothorax）是胸外科的常见病之一，可分为原发性和继发性自发性气胸。电视胸腔镜手术（video-assisted thoracoscopic surgery，VATS）近年