胸腔镜手术和开胸手术在胸外伤治疗中对比研究.docVIP

胸腔镜手术和开胸手术在胸外伤治疗中对比研究 　　【摘要】 目的：分析电视胸腔镜手术在胸外伤治疗中的可行性及优越性。方法：选取54例经电视胸腔镜手术治疗的胸外伤患者作为观察组，并对同期52例开胸手术治疗胸外伤的患者进行对照研究，对两组患者临床资料进行单因素分析。结果：观察组手术切口长度、术后第3天VAS评分、术后住院时间、输血量、引流量、引流时间、术后第7天FEV1、术后并发症均短于对照组，差异有统计学意义（P0.05）。结论：电视胸腔镜手术创伤小、术后疼痛轻、并发症少、住院时间短，可使患者所承受的手术打击轻、痛苦轻、并发症少、恢复快、疗效佳、切口美观，能明显减轻因开胸手术带来的第二次创伤，值得推广。 　　【关键词】 胸腔镜手术； 开胸； 胸外伤 　　doi：10.14033/j.cnki.cfmr.2017.13.007 文献标识码 B 文章编号 1674-6805（2017）13-0016-03 　　【Abstract】 Objective：To analyze the feasibility and superiority selection by video-assisted thoracoscope surgery in the treatment of chest trauma.Method：54 cases of chest trauma patients treated by video-assisted thoracoscope surgery were selected as observation group，and 52 cases of chest trauma patients treated by thoracotomy surgery in the same period were selected as control group，the single factor analysis was carried out on the clinical data of two group patients.Result：The observation group was shorter than the thoracotomy group in the length of incision，postoperative VAS score on the third day，postoperative hospital stay，blood transfusion amount，flow and drainage time，postoperative FEV1 on the seventh day and postoperative complications.the difference was statistically significant，the differences were statistically significant（P0.05）.Conclusion：Video-assisted thoracoscope surgery have small trauma，less postoperative pain， complications，and shorter hospitalization time，can make the light on the patients with surgical strike，light pain，fewer complications，rapid recovery，good curative effect，beautiful incision，and can significantly reduce second trauma due to open thoracic surgery，is worth promoting. 　　【Key words】 Thoracoscope surgery； Thoracotomy； Thoracic trauma 　　First-author’s address：Chongzuo People’s Hospital，Chongzuo 532200，China 　　胸外??是急诊外科常见病症。传统手术方式开胸手术有切口大、创伤大、术后恢复慢等缺点，近年来已被电视胸腔镜下（VATS）取代，电视胸腔镜手术效果确切、创伤小、恢复快已使越来越多的患者从中受益，已成为胸外科微创技术发展的代表[1]。现对笔者所在医院在2009年-2015年进行胸腔镜手术和开胸手术的胸外伤患者的临床资料进行总结对比研究。 　　1 资料与方法 　　1.1 一般资料 　　本研究对象均来自笔者所在医院2009年1月-2015