摘要
目的分析自发性气胸(SP)患者接受单操作孔胸腔镜手术(VATS)治疗的效果及对疼痛评分的影响。方法将2018年1月至2020年12月接诊且行双操作孔VATS的80例SP患者作为对照组,将同期接诊且行单操作孔VATS的80例SP患者作为观察组,对组间手术相关指标、疼痛评分、免疫功能指标、血气指标、并发症情况展开分析。结果(1)观察组手术相关指标、疼痛评分优于对照组(P<0.05);(2)组间免疫功能指标、血气指标在术前无明显差异(P>0.05),观察组免疫功能指标、血气指标在术后优于对照组(P<0.05);(3)观察组发生6例并发症(7.50%),对照组发生19例并发症(23.75%,P<0.05)。结论对SP患者进行单操作孔VATS治疗,不易影响患者免疫功能,且能稳定血气水平,减轻手术创伤及术后疼痛感,减少并发症,缩短术后恢复时间,值得推广。
Objective To analyze the effect of single-port thoracoscopic surgery(VATS)in patients with spontaneous pneumothorax(SP)and its influence on pain scores.Methods From January 2018 to December 2020,80 cases of SP patients who underwent dual-port VATS were used as the control group,and 80 cases of SP patients who received single-port VATS during the same period were used as the observation group.Surgery was performed between groups.Analysis of related indicators,pain scores,immune function indicators,blood gas indicators,and complications.Results(1)The operation-related indexes and pain scores of the observation group were better than those of the control group(P<0.05);(2)There was no significant difference in the immune function indexes and blood gas indexes between the groups before operation(P<0.05);The observation group’s immune function indexes.The blood gas index was better than the control group after operation(P<0.05);(3)6 complications occurred in the observation group(7.50%),and 19 complications occurred in the control group(23.75%)(P<0.05);Conclusion Single-port VATS treatment for SP patients is not easy to affect the patient’s immune function,and can stabilize blood gas levels,reduce surgical trauma and postoperative pain,reduce complications,and shorten postoperative recovery time.It is worthy of promotion.
作者
周金山
廖志振
ZHOU Jin-shan;LIAO Zhi-zhen(Department of Thoracic Surgery,Huizhou First Hospital,Huizhou 516000,Guangdong Province,China)
出处
《罕少疾病杂志》
2022年第5期50-52,共3页
Journal of Rare and Uncommon Diseases
关键词
单操作孔胸腔镜手术
自发性气胸
疼痛评分
Single-Port Thoracoscopic Surgery
Spontaneous Pneumothorax
Pain Score
