CAJ | 학술논문

目的：比较胸腔镜辅助小切口手术（VAMT）与单纯胸腔镜手术（VATS）治疗肺大泡的临床疗效及经济效益，探讨其优势及可行性。方法：回顾性分析2010年01月～2014年01月我院收治的62例肺大泡患者，按照手术方式分为VAMT组与VATS组，VAMT组29例，VATS组33例，观察比较两组患者的手术时间、术中出血量、手术费用、术后并发症及复发率等指标。结果：VAMT组的术中出血量、术后并发症、复发率与VATS组比较无明显差别（P＞0.05），手术时间比VATS短（P＜0.05），手术费用明显低于VATS组（P＜0.05）。结论：胸腔镜辅助小切口手术与单纯胸腔镜手术两种方式在治疗肺大泡的术中出血量、术后并发症、复发率上无明显差别，但胸腔镜辅助小切口手术具有手术时间短、费用较低的优点，值得在临床上推广。
목적：비교흉강경보조소절구수술（VAMT）여단순흉강경수술（VATS）치료폐대포적림상료효급경제효익，탐토기우세급가행성。방법：회고성분석2010년01월～2014년01월아원수치적62례폐대포환자，안조수술방식분위VAMT조여VATS조，VAMT조29례，VATS조33례，관찰비교량조환자적수술시간、술중출혈량、수술비용、술후병발증급복발솔등지표。결과：VAMT조적술중출혈량、술후병발증、복발솔여VATS조비교무명현차별（P＞0.05），수술시간비VATS단（P＜0.05），수술비용명현저우VATS조（P＜0.05）。결론：흉강경보조소절구수술여단순흉강경수술량충방식재치료폐대포적술중출혈량、술후병발증、복발솔상무명현차별，단흉강경보조소절구수술구유수술시간단、비용교저적우점，치득재림상상추엄。
Objective: To compare the clinical curative effect and the cost of video-assisted mini-thoracotomy (VAMT)with video-assisted thoracoscope surgery (VATS)for the treatment of pulmonary bullae,explore its advan-tages and feasibility. Methods A retrospective analysis of 62 cases bulla patient from January 2010 to January 2014 in our hospital. These cases were divided into VAMT group and VATS group,VAMT group of 29 cases,VATS group of 33 cases. Compare two groups of patients with operation time,intraoperative blood loss,the cost of surgery, postopera-tive complications and the recurrence rate, etc.Results The intraoperative blood loss,postoperative complications and the recurrence rate of VAMT group is similar to that of VATS group (P>0.05),the operation time of VAMT group is shorter than that of VATS group (P<0.05),the cost of surgery of VAMT group is much lower than that of VATS group (P<0.05). Conclusion There is little difference between video-assisted mini-thoracotomy and video-assisted thora-coscope surgery for the intraoperative blood loss,postoperative complications and the recurrence rate of pulmonary bullae. Video-assisted mini-thoracotomy has advantage of shorter operation time and lower cost,it is worth promoting in clinical.