CAJ | 학술논문

目的：比较腋下小切口（LAT）与电视胸腔镜技术（VATS）治疗青年自发性气胸的疗效。方法：将60例青年自发性气胸按手术方式分为LAT组(n=37)和VATS组(n=23)，比较2组在手术时间、胸引管留置时间、术后住院时间、术后24h疼痛评分、镇痛药的用药时间及住院总费用的差异。结果：VATS组在手术时间、胸引管留置时间、术后住院时间及镇痛药的用药时间要短于LAT组，2组在术后24小时疼痛评分方面无差异（P>0.05）。VATS组的住院总费用要高于LAT组。结论：VATS治疗青年自发性气胸，术后病人恢复更快，但费用较高。
목적：비교액하소절구（LAT）여전시흉강경기술（VATS）치료청년자발성기흉적료효。방법：장60례청년자발성기흉안수술방식분위LAT조(n=37)화VATS조(n=23)，비교2조재수술시간、흉인관류치시간、술후주원시간、술후24h동통평분、진통약적용약시간급주원총비용적차이。결과：VATS조재수술시간、흉인관류치시간、술후주원시간급진통약적용약시간요단우LAT조，2조재술후24소시동통평분방면무차이（P>0.05）。VATS조적주원총비용요고우LAT조。결론：VATS치료청년자발성기흉，술후병인회복경쾌，단비용교고。
Objective:To compare the Limited Axil ary Thoracotomy (LAT) and Video-assisted thoracoscopic Surgery (VATS) for treatment of young spontaneous pneumothorax.Methods:From 2008 January to 2012 May,60 youth cases with spontaneous pneumothorax were divided into LAT group (n=37) and group VATS (n=23) according to the operation mode. The operation time,chest tube drainage time,postoperative hospital stay, pain score at the 24h after surgery,using time of analgesia and total hospitalization expenditures were compared between two groups.Results:The operation time,chest tube drainage time,postoperative hospital stay and using time of analgesia in VATS group was shorter than that of LAT group.There was no difference in the pain score at the 24h after surgery between the 2 groups.The total hospitalization expenditures of VATS group was higher than that of LAT group.Conclusion:The treatment of youth spontaneous pneumothorax by VATS gets sooner recovery.But the expenditures are more.