胸腔镜手术治疗自发性气胸临床探讨.docVIP

胸腔镜手术治疗自发性气胸临床探讨 　　[摘要] 目的 探讨胸腔镜结合腋下小切口治疗自发性气胸的临床疗效。 方法 随机选取2009年1月―2014年1月该院胸外科收治的自发性气胸患者72例，观察组36例，胸腔镜结合腋下小切口手术治疗；对照组36例，行传统的手术方法。术后对两组患者的手术时间、术中出血量、引流管拔出时间、住院时间及并发症比较分析。 结果 观察组患者手术时间、术中出血量、引流管拔出时间、住院天数及并发症均少于对照组（P0.05）。 结论 胸腔镜结合腋下小切口手术治疗减少了手术时间、术中出血量、引流管拔出时间、住院时间及术后并发症，值得临床推广。 　　[关键词] 胸腔镜；手术；自发性气胸；临床观察 　　[中图分类号] R561.4 [文献标识码] A [文章编号] 1674-0742（2015）05（b）-0092-02 　　Clinical Observation of Thoracoscopic Operation for the Treatment of Spontaneous Pneumothorax 　　YANG Yong-jiang 　　Jinping Humanity Hospital， Hani-Yi Autonomous Prefecture of Honghe， Yunnan Province， 66I500 China 　　[Abstract] Objective To investigate the clinical efficacy of thoracoscopic subaxillary small incision in the treatment spontaneous pneumothorax. Methods In our hospital from 2009 January to 2014 January were treated 72 patients with spontaneous pneumothorax who were admitted to Department of Thoracic Surgery of our hospital were randomly divided into observation group（n=36） and control group（n=36）. Subaxillary small incision operation therapy combined with video assisted thoracoscopic surgery was performed in the observation group，while the traditional operation method was used in the control group. After the operation， operation time of two groups of patients the bleeding volume during operation， drainage tube pulled out a comparative analysis of the hospitalization time and complications of time. Results Operation time， bleeding volume， drainage tube pulled out of time， hospital stay and complications in the observation group were less than that in the control group （P0.05）. Conclusion VATS with subaxillary small incision operation treatment can reduce operation time， bleeding volume， drainage tube pulled out of time， hospitalization time and postoperative complications， so it is worthy of clinical application. 　　[Key words] Thoracoscopy； Operation； Spontaneous pneumothorax； Clinical observation 　　自发性气胸是非常普遍的一种胸外科疾病，该病的病因一般是患者的肺大泡破裂，导致胸闷气短、胸部疼痛等病症，严重影响患者的日常生活[1]。其治疗方式一般是进行胸腔闭式引流手