CAJ | 학술논문

目的：探讨腋中线双孔法VATS肺大泡切除术治疗中青年自发性气胸手术的应用价值及配合体会。方法选30例中青年患者随机按手术方式分为腋中线双孔法实验组( n=15)和传统三孔法对照组( n=15)，疗效评价指标包括手术时间、术中出血量、术后使用杜冷丁量、术后住院日、切口总长度、切口美观程度及术后复发率。结果两组手术时间、术后复发率及术后住院日均无显著差异( P>0.05)；与对照组比较，实验组术中出血量少、术后使用杜冷丁量少、切口总长度短及切口美观程度高，且差异均具有显著意义(P<0.05)。结论腋中线双孔法与传统三孔法VATS肺大泡切除术治疗中青年自发性气胸疗效相同，但腋中线双孔法术后患者疼痛更轻、切口更为美观，其创伤更为轻微。
목적：탐토액중선쌍공법VATS폐대포절제술치료중청년자발성기흉수술적응용개치급배합체회。방법선30례중청년환자수궤안수술방식분위액중선쌍공법실험조( n=15)화전통삼공법대조조( n=15)，료효평개지표포괄수술시간、술중출혈량、술후사용두랭정량、술후주원일、절구총장도、절구미관정도급술후복발솔。결과량조수술시간、술후복발솔급술후주원일균무현저차이( P>0.05)；여대조조비교，실험조술중출혈량소、술후사용두랭정량소、절구총장도단급절구미관정도고，차차이균구유현저의의(P<0.05)。결론액중선쌍공법여전통삼공법VATS폐대포절제술치료중청년자발성기흉료효상동，단액중선쌍공법술후환자동통경경、절구경위미관，기창상경위경미。
0bjective To investigate the effect of resection of pulmonary bul ae with two-port VATS technique on the midaxil ary line for spontaneous pheumthorax of young and middle-aged patients. Methods A total of 30 patients were divided into test group( two-port VATS technique on the midaxil ary line n=15) and control group(traditional three-port VATS technique n=15).The operative time,volume of operative haemorrhage, volume of postoperative dolantin ,postoperative hospital stay,total length of operative cut,aesthetic measure of operative cut and rate of recurrece were compared between the two groups.Results No significant difference existed in the operative time,rate of recurrence and postoperative hospital stay between the two groups(P>0.05). The volume of operative haemorrhage, volume of postoperative dolantin , total length of operative cut of test group were significantly less than those in the control group(P<0.05).The aesthetic measure of operative cut of test group was significantly better than that in the control group(P<0.05). Conclusion The effect of resection of pulmonary bul ae with two-port VATS technique on the midaxil ary line for spontaneous pheumthorax of young and middle-aged patients is as equal as that of traditional three-port VATS technique.Whereas it can al eviate the operative pain, improve the aesthetic measure of operative cut,and significantly reduce the trauma.