中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
12期
1780-1781
,共2页
齐拥军%付景伟%张秋生%于涛
齊擁軍%付景偉%張鞦生%于濤
제옹군%부경위%장추생%우도
胸腔镜检查%胸部损伤
胸腔鏡檢查%胸部損傷
흉강경검사%흉부손상
Thoracoscopy%Thoracic injuries
目的 探讨电视胸腔镜手术(VATS)在胸外伤诊断及治疗中的可行性及其优越性.方法 选取60例胸外伤患者,按随机数字表法分为观察组及对照组,每组30例.观察组行电视胸腔镜治疗,对照组行传统方法治疗.比较两组患者的切口长度、术后第3天疼痛程度、输血量、闭式引流时间、引流量、术后住院时间、术后第7天FEV1等相关指标.结果 观察组切口长度为(7.41±5.52)cm,显著短于对照组的(18.62±4.11)cm(t=7.54,P＜0.05);输血量和引流量分别为(199.88±23.00) mL和(199.52±18.48) mL,均显著少于对照组的(465.67±41.88)mL和(560.02±44.98) mL(t=6.38,6.98,均P＜0.05);术后第3天视觉模拟评分(VAS)为(3.61±0.20)分,低于对照组的(6.01±0.25)分(t=6.64,P＜0.05);术后住院时间为(6.50±0.45)d,短于对照组的(11.33±0.50)d(t=7.95,P＜0.05).结论 电视胸腔镜在胸部损伤诊治过程中有直观性强、创伤小、恢复快、并发症少等优势.
目的 探討電視胸腔鏡手術(VATS)在胸外傷診斷及治療中的可行性及其優越性.方法 選取60例胸外傷患者,按隨機數字錶法分為觀察組及對照組,每組30例.觀察組行電視胸腔鏡治療,對照組行傳統方法治療.比較兩組患者的切口長度、術後第3天疼痛程度、輸血量、閉式引流時間、引流量、術後住院時間、術後第7天FEV1等相關指標.結果 觀察組切口長度為(7.41±5.52)cm,顯著短于對照組的(18.62±4.11)cm(t=7.54,P＜0.05);輸血量和引流量分彆為(199.88±23.00) mL和(199.52±18.48) mL,均顯著少于對照組的(465.67±41.88)mL和(560.02±44.98) mL(t=6.38,6.98,均P＜0.05);術後第3天視覺模擬評分(VAS)為(3.61±0.20)分,低于對照組的(6.01±0.25)分(t=6.64,P＜0.05);術後住院時間為(6.50±0.45)d,短于對照組的(11.33±0.50)d(t=7.95,P＜0.05).結論 電視胸腔鏡在胸部損傷診治過程中有直觀性彊、創傷小、恢複快、併髮癥少等優勢.
목적 탐토전시흉강경수술(VATS)재흉외상진단급치료중적가행성급기우월성.방법 선취60례흉외상환자,안수궤수자표법분위관찰조급대조조,매조30례.관찰조행전시흉강경치료,대조조행전통방법치료.비교량조환자적절구장도、술후제3천동통정도、수혈량、폐식인류시간、인류량、술후주원시간、술후제7천FEV1등상관지표.결과 관찰조절구장도위(7.41±5.52)cm,현저단우대조조적(18.62±4.11)cm(t=7.54,P＜0.05);수혈량화인류량분별위(199.88±23.00) mL화(199.52±18.48) mL,균현저소우대조조적(465.67±41.88)mL화(560.02±44.98) mL(t=6.38,6.98,균P＜0.05);술후제3천시각모의평분(VAS)위(3.61±0.20)분,저우대조조적(6.01±0.25)분(t=6.64,P＜0.05);술후주원시간위(6.50±0.45)d,단우대조조적(11.33±0.50)d(t=7.95,P＜0.05).결론 전시흉강경재흉부손상진치과정중유직관성강、창상소、회복쾌、병발증소등우세.
Objective To investigate the feasibility and superiority of video-assisted thoracic surgery (VATS) in the diagnosis and treatment of chest trauma feasibility and superiority.Methods 60 cases were randomly selected and divided into the observation group (n =30) and control group (n =30) by random number table.The observation group was treated with VATS and the control group was treated with traditional methods.Incision length,after the first three days of pain,blood transfusion,closed drainage time,drainage,postoperative hospital stay,postoperative day 7 1S forced expiratory volume (FEV1) and other related indicators were compared between the two groups.Results Incision length of the observation group was (7.41 ± 5.52) cm,which was significantly shorter than (18.62 ± 4.11) cm of the control group (t =7.54,P ＜ 0.05).Amount of blood transfusion and drainage of the observation group were (199.88 ± 23.00) mL and (199.52 ± 18.48) mL,which were significantly less than (465.67 ± 41.88) mL and (560.02 ± 44.98) mL of the control group (t =6.38,6.98,all P ＜ 0.05).In the observation group patients after the first three days VAS score was (3.61 ±0.20) points,lower than (6.01 ±0.25) points of the control group (t =6.64,P ＜ 0.05).Postoperative hospital stay was (6.50 ± 0.45) d,shorter than (11.33 ± 0.50) d of the control group(t =7.95,P ＜0.05).Conclusion VATS has the advantages of intuitive and strong,trauma,pain,faster recovery,shorter hospital stay,less closed thoracic drainage,fewer complications and so on in chest injury diagnosis and treatment.
