中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
6期
828-829
,共2页
高鲲%张舸%梁华刚%景晓春
高鯤%張舸%樑華剛%景曉春
고곤%장가%량화강%경효춘
气胸%腋下小切口%胸腔镜检查
氣胸%腋下小切口%胸腔鏡檢查
기흉%액하소절구%흉강경검사
Pneumothorax%Small incision in the armpit%Thoracoscopy
目的 比较腋下小切口与胸腔镜手术治疗自发性气胸临床疗效.方法 106例自发性气胸分别采用腋下小切口手术治疗(腋下小切口组)和胸腔镜手术治疗(胸腔镜组),比较两组术中出血量、手术时间、胸管引流时间、术后住院时间和手术费用,并观察两组并发症发生情况.结果 腋下小切口组术中出血量(44.5±5.2)ml,多于胸腔镜组的(38.3±6.5) ml(t =6.378,P＜0.01)；腋下小切口组手术时间(68.0±5.3)min、胸管引流时间(2.8±0.8)d、住院时间(4.8±0.7)d,均长于胸腔镜组的(60.8±6.0) min、(2.0±0.5)d、(4.0±0.6)d(t =3.552、4.215、3.076,均P＜0.05)；腋下小切口组手术费用(1 550±348)元,明显少于胸腔镜组手术费用(4 290±573)元(t=-24.823,P＜0.05).两组患者无手术并发症,复查胸片显示肺复张良好；胸腔镜组气胸复发1例,腋下小切口组无复发.结论 腋下小切口与胸腔镜手术治疗自发性气胸疗效相当,但胸腔镜手术治疗具有创伤小、术后恢复快、住院时间短等优点、但手术费用较高.
目的 比較腋下小切口與胸腔鏡手術治療自髮性氣胸臨床療效.方法 106例自髮性氣胸分彆採用腋下小切口手術治療(腋下小切口組)和胸腔鏡手術治療(胸腔鏡組),比較兩組術中齣血量、手術時間、胸管引流時間、術後住院時間和手術費用,併觀察兩組併髮癥髮生情況.結果 腋下小切口組術中齣血量(44.5±5.2)ml,多于胸腔鏡組的(38.3±6.5) ml(t =6.378,P＜0.01)；腋下小切口組手術時間(68.0±5.3)min、胸管引流時間(2.8±0.8)d、住院時間(4.8±0.7)d,均長于胸腔鏡組的(60.8±6.0) min、(2.0±0.5)d、(4.0±0.6)d(t =3.552、4.215、3.076,均P＜0.05)；腋下小切口組手術費用(1 550±348)元,明顯少于胸腔鏡組手術費用(4 290±573)元(t=-24.823,P＜0.05).兩組患者無手術併髮癥,複查胸片顯示肺複張良好；胸腔鏡組氣胸複髮1例,腋下小切口組無複髮.結論 腋下小切口與胸腔鏡手術治療自髮性氣胸療效相噹,但胸腔鏡手術治療具有創傷小、術後恢複快、住院時間短等優點、但手術費用較高.
목적 비교액하소절구여흉강경수술치료자발성기흉림상료효.방법 106례자발성기흉분별채용액하소절구수술치료(액하소절구조)화흉강경수술치료(흉강경조),비교량조술중출혈량、수술시간、흉관인류시간、술후주원시간화수술비용,병관찰량조병발증발생정황.결과 액하소절구조술중출혈량(44.5±5.2)ml,다우흉강경조적(38.3±6.5) ml(t =6.378,P＜0.01)；액하소절구조수술시간(68.0±5.3)min、흉관인류시간(2.8±0.8)d、주원시간(4.8±0.7)d,균장우흉강경조적(60.8±6.0) min、(2.0±0.5)d、(4.0±0.6)d(t =3.552、4.215、3.076,균P＜0.05)；액하소절구조수술비용(1 550±348)원,명현소우흉강경조수술비용(4 290±573)원(t=-24.823,P＜0.05).량조환자무수술병발증,복사흉편현시폐복장량호；흉강경조기흉복발1례,액하소절구조무복발.결론 액하소절구여흉강경수술치료자발성기흉료효상당,단흉강경수술치료구유창상소、술후회복쾌、주원시간단등우점、단수술비용교고.
Objective To study the clinical efficacy of axillary incision and thoracoscopic surgery for spontaneous pneumothorax.Methods 106 cases of spontaneous pneumothorax in our hospital were given axillary incision surgery(axillary incision group) and thoracoscopic surgery(thoracoscopy group).The intraoperative blood loss,operative time,chest tube drainage time,postoperative hospital stay and surgery costs were compared between the two groups,and the occurrence of complications were observed.Results The armpit small incision group,intraoperative blood loss was (44.5 ± 5.2) ml,the thoracoscopic amount of blood loss was (38.3 ± 6.5) ml (t =6.378,P ＜ 0.01) ;armpit operation time of the small incision group was (68.0 ± 5.3) min,thoracoscopic operative time was (60.8 ±6.0)min; armpit chest tube drainage time of small incision group was (2.8 ± 0.8)d,thoracoscopic group of chest tube drainage time was (2.0 ± 0.5) d; axillary small incision group,length of stay was (4.8 ± 0.7) d,the thoracoscopic group hospitalization time was (4.0 ± 0.6) d,(t =3.552,4.215,3.076,all P ＜ 0.05) ; axillary incision surgery costs was (1 550 ± 348) Yuan,the thoracoscopic group cost of surgery was (4 290 ± 573) Yuan (t =-24.823,P ＜ 0.05).Two groups of patients with no surgical complications,chest X-ray review of lung reexpansion good thoracoscopic group one cases of recurrence of pneumothorax,axillary incision group without recurrence (P ＞ 0.05).Conclusion Axillary small incision and thoracoscopic surgery for spontaneous pneumothorax have the similar efficacy,thoracoscopic surgery is less trauma,faster recovery,shorter hospital stay,but the high cost of surgery,if patients physical condition is acceptable,which can be used axillary incision surgery.
