摘要
目的探究电视胸腔镜手术(VATS)治疗胸部外伤合并血气胸的临床效果。方法选取2017年1月至2018年11月于我院行手术治疗的84例胸部外伤合并血气胸患者,将其中39例行开胸手术的患者设为开胸组,45例行VATS的患者设为VATS组。比较两组的治疗效果。结果 VATS组的手术时间和术后胸管放置时间明显短于开胸组,术中失血量和术后胸管引流量少于开胸组,差异有统计学意义(P<0.05)。VATS组肺复张时间、术后VAS评分、术后镇痛药物用量均明显优于开胸组,差异有统计学意义(P<0.05)。两组患者术后第3、5、7天的CRP水平均低于术后第1天,且VATS组低于开胸组,差异有统计学意义(P<0.05)。VATS组术后并发症总发生率明显低于开胸组(P<0.05)。结论 VATS治疗胸部外伤合并血气胸的手术创伤小,且患者术后疼痛轻、恢复快、并发症少,是安全有效的手术方式,值得临床推广与应用。
Objective To explore the clinical effect of video-assisted thoracoscopic surgery(VATS) in the treatment of thoracic trauma complicated with hemopneumothorax. Methods From January 2017 to November 2018, 84 patients with thoracic trauma combined with hemopneumothorax who underwent surgical treatment in our hospital were selected. Among them, 39 patients who underwent thoracotomy were set as thoracotomy group, and 45 patients who underwent VATS were set as VATS group. The therapeutic effects of the two groups were compared. Results The operation time and postoperative thoracic tube placement time of the VATS group were significantly shorter than those of the thoracotomy group, and the intraoperative blood loss and postoperative thoracic tube drainage volume were less than those of the thoracotomy group,and the differences were statistically significant(P<0.05). The pulmonary recruitment time, postoperative VAS score and the usage of analgesics in the VATS group were significantly better than those in the thoracotomy group, and the differences were statistically significant(P <0.05). The CRP levels at the 3 rd, 5 thand 7 thdays after operation in both groups were lower than those at the 1 stday after operation, and those in the VATS group were lower than the thoracotomy group, and the differences were statistically significant(P<0.05). The total incidence of complications in the VATS group was significantly lower than that in the thoracotomy group(P <0.05). Conclusion VATS is a safe and effective surgical method in the treatment of thoracic trauma complicated with hemopneumothorax. It has less trauma, less pain, faster recovery and fewer complications, which is worthy of clinical popularization and application.
作者
寇峰
KOU Feng(Chest and Lung Disease Center, Baoji High-tech People's Hospital, Baoji 721006, China)
出处
《临床医学研究与实践》
2019年第17期53-55,共3页
Clinical Research and Practice
关键词
胸部外伤
血气胸
电视胸腔镜手术
thoracic trauma
hemopneumothorax
video-assisted thoracoscopic surgery
