CAJ | 학술논문

目的探讨电视胸腔镜手术治疗锐器伤血气胸的可行性、优点及临床疗效.方法回顾性分析53例锐器伤性血气胸需要手术患者的临床资料,根据手术处理方法的不同分为电视胸腔镜手术组(即VATS组)28例和常规开胸手术组(即开胸组)25例,从手术时间、术中出血量、住院时间及术后胸腔引流量等多方面进行比较.结果两组手术时间、术中出血量、住院时间、术后胸管引流量、胸管引流时间差异均有统计学意义(均P ＜0.05).结论电视胸腔镜能安全应用于锐器伤血气胸的治疗,与传统开胸手术相比,具有手术时间短、术中出血量少、术后恢复快等优点,值得进一步推广.
목적 탐토전시흉강경수술치료예기상혈기흉적가행성、우점급림상료효.방법 회고성분석53례예기상성혈기흉수요수술환자적림상자료,근거수술처리방법적불동분위전시흉강경수술조(즉VATS조)28례화상규개흉수술조(즉개흉조)25례,종수술시간、술중출혈량、주원시간급술후흉강인류량등다방면진행비교.결과 량조수술시간、술중출혈량、주원시간、술후흉관인류량、흉관인류시간차이균유통계학의의(균P ＜0.05).결론 전시흉강경능안전응용우예기상혈기흉적치료,여전통개흉수술상비,구유수술시간단、술중출혈량소、술후회복쾌등우점,치득진일보추엄.
Objective To investigate the feasibility,advantage and clinical effect of video-assisted thoracoscopic in the treatment of sharp injury hemopneumothorax.Methods 53 cases in our hospital of sharp injury hemopneumothorax who need operation treatment were divided into the observation group (VATS group) and the control group(Open group),which were treated by Video-assisted thoracoscopic surgery and the traditional thoracotomy surgery respectively.The clinical effects,such as operative time,intraoperative blood loss,hospital stays,postoperative chest lead flow and so on were compared.Results The operation time,bleeding volume,length of hospital stay,postoperative chest lead flow and pleural drainage days have significant difference (all P ＜ 0.05).Conclusion VATS has shorter operative time,less intraoperative blood loss and quicker recovery after operation,which is a better and safer treatment of sharp injury hemopneumothorax and deserves further clinical application.