摘要
目的观察单孔胸腔镜治疗自发性气胸的近远期疗效。方法选取自发性气胸患者112例为研究对象,根据手术方法分为单孔胸腔镜手术组(n=48)和传统胸腔镜手术组(n=64)。两组确诊后首先进行吸氧、祛痰、治疗原发病等常规治疗措施,单孔胸腔镜手术组和传统胸腔镜手术组分别行相应手术。比较两组术后疼痛指标、手术指标及不良反应发生情况。结果两组术后1周疼痛评分差异无统计学意义(P>0.05),术后24h及术后72h单孔胸腔镜手术组疼痛评分少于传统胸腔镜手术组(P<0.05);两组手术费用差异无统计学意义(P>0.05),单孔胸腔镜手术组手术时间、术中出血量等均少于传统胸腔镜手术组(P<0.05);两组气胸远期复发发生率差异无统计学意义(P>0.05),单孔胸腔镜手术组气胸近期复发、术后漏气发生率为8.33%、4.17%,低于传统胸腔镜手术组23.44%、18.75%(P<0.05)。结论单孔胸腔镜治疗自发性气胸能降低患者术后近期疼痛及复发率,优化手术指标。
Objective To observe the short-term and long-term effects of single-port thoracoscopic surgery for spontaneous pneumothorax.Methods A total of 112 patients with spontaneous pneumothorax admitted to the hospital were enrolled.The patients were divided into single-hole thoracoscopic surgery group(n=48)and conventional thoracoscopic surgery group(n=64)according to the surgical method.After the diagnosis,the two groups firstly carried out conventional treatments such as oxygen inhalation,eliminating phlegm,and treatment of primary disease.The single-hole thoracoscopic surgery group and the conventional thoracoscopic surgery group underwent corresponding operations.The postoperative pain index,surgical index and adverse reactions were compared between the two groups.Results There was no significant difference in pain scores between the two groups at 1 week after surgery(P>0.05).The pain score of single-hole thoracoscopic surgery group was lower than that of traditional thoracoscopic surgery group at 24h and 72h after operation(P<0.05).There was no significant difference in the cost of surgery between the two groups(P>0.05).The operation time and intraoperative blood loss in the single-hole thoracoscopic surgery group were lower than those in the traditional thoracoscopic surgery group(P<0.05).There was no significant difference in the incidence of long-term recurrence of pneumothorax between the two groups(P>0.05).The recent recurrence of pneumothorax and postoperative air leak rate in the single-hole thoracoscopic surgery group were 8.33%,4.17%,lower than those in the traditional thoracoscopic surgery group(23.44%,18.75%)(P<0.05).Conclusion Single-hole thoracoscopic treatment of spontaneous pneumothorax can reduce the short-term pain and recurrence rate and optimize the surgical index.
作者
李红光
张振法
李会希
Li Hongguang;Zhang Zhenfa;Li Huixi(Surgery Department Ward One,Anyang Second people's Hospital,Xinxiang 455000,China)
出处
《哈尔滨医药》
2020年第2期132-134,共3页
Harbin Medical Journal
关键词
自发性气胸
单孔胸腔镜
近远期
疗效
Spontaneous pneumothorax
Single-hole thoracoscopic
Near and long-term
Curative effect
