摘要
[目的]探讨胸腔镜手术[电视胸腔镜手术(Video-Assisted Thoracic Surgery,VATS)的简称]对少儿气胸的临床效果。[方法]将2003年3月到2012年3月间我院就诊的64例少儿气胸患者为研究对象分成两组,即对照组和VATS组,其中给予对照组患者进行传统剖胸术,VATS组患者进行胸腔镜手术,分组用随机法,两组一般资料均符合统计学具有可比性原则(P>0.05);分别分析两组患者切口长度和手术时间、术中出血量和术后引流量以及并发症发生率等情况。[结果]与对照组相比,VATS组切口长度和手术时间明显缩短;术中出血量和术后引流量明显减少;肺不张和肺炎等术后并发症的发生率明显降低,差异有统计学意义(P<0.05)。[结论]胸腔镜可以有效治疗少儿气胸,并发症少,是一种安全、有效、创伤小的术式,具有显著的临床意义,值得推广。
[Objective]Analyse the clinical effects of thoracoscopic on pneumothoran in children.[Methods] Select the 64 cases of pneumothorax in children from the period of March 2003 to March 2012 as the research subjects,dividing the patients into control group and observation group randomly.The control group is treated with traditional thoracotomy,and the observation group is treated with thoracoscopic surgery,and then analyse the operative time and length of the incision,blood loss and postoperative drainage volume and complications of two groups of patients.[Results] Compared to the control group,the surgery time and incision length of the observation group were significantly shorter,blood loss and postoperative drainage were significantly reduced,the incidence of post-operative complications such as atelectasis and pneumonia was significantly reduced,a significant difference was statistical.[Conclusion] Thoracoscopy can be effective in treating children pneumothorax,fewer complications,and is a safe,effective,minimally invasive surgical procedure,with significant clinical significance,which is worthy promotion.
出处
《浙江中医药大学学报》
CAS
2013年第2期161-162,171,共3页
Journal of Zhejiang Chinese Medical University
关键词
肺大疱
气胸
少儿
VATS
效果分析
pediatric pneumothorax
thoracoscopic
children
VATS
effect analysis
