目的 探讨改良双孔胸腔镜在治疗自发性气胸的应用效果。方法 分析96例接受胸腔镜手术的自发性气胸患者,其中23例接受了改良双孔胸腔镜手术(改良组),73例接受了标准双孔或三孔胸腔镜手术(标准组);主要分析指标包括手术时间、术中出血量、术后住院时间、术后置管时间和术后疼痛评分。结果 改良组和标准组的患者在手术时间[(50.0±4.1)vs(51.4±4.0), P=0.327]、术中出血量[(43.2±6.7)vs(46.4±6.9), P=0.058]、术后住院时间[(6.0±1.4)vs(6.6±1.4), P=0.122]、术后置管时间[(4.5±1.1)vs(4.8±1.1),P=0.377]等方面差异无统计学意义,但改良组的术后疼痛评分显著低于标准组(P=0.002)。结论 相比标准胸腔镜,改良胸腔镜治疗自发性气胸切口更加美观、术后疼痛更小。
Abstract
Objective To investigate effects of the limited two-port video assisted thoracic surgery on treatment of spontaneous pneumothorax. Methods A retrospective analysis of 96 patients with spontaneous pneumothorax who underwent video assisted thoracic surgery was conducted in the present study, in which 23 cases underwent the limited two-port video assisted thoracic surgery while 73 cases treated with the standard three-port video assisted thoracic surgery or the standard two-port video assisted thoracic surgery. The mean operation time, mean intraoperative blood loss and average postoperative hospital stay, average postoperative chest tube duration and postoperative pain rating were analyzed. Results Though no statistically significant difference existed in the mean operation time[(50.0±4.1)vs(51.4±4.0), P=0.327], mean intraoperative blood loss [(43.2±6.7)vs(46.4±6.9), P=0.058]average postoperative hospital stay[(6.0±1.4)vs(6.6±1.4), P=0.122], average postoperative chest tube duration [(4.5±1.1)vs(4.8±1.1),P=0.377] between the two group, however, the postoperative pain scores in the limited two-port video assisted thoracic surgery group were significantly lower than those in the traditional video assisted thoracic surgery group (P=0.002). Conclusion There is better cosmetic effect, and lower grade postoperative pain in the limited two-port video assisted thoracic surgery.
关键词
改良胸腔镜 /
自发性气胸 /
术后疼痛
Key words
limited two-port thoracoscopy /
spontaneous pneumothorax /
video assisted thoracic surgery
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参考文献
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