CAJ | 학술논문

目的：探讨内科胸腔镜治疗自发性气胸的效果、安全性及临床意义。方法：选择自发性气胸患者94例，随机分成观察组和对照组，每组47例，观察组给予内科胸腔镜手术疗法，对照组给予传统开胸手术疗法，对两组患者术中出血量、住院时间、平均带管时间、术后疼痛级数以及复发（1年内）情况进行对比。结果：观察组术中出血量、住院用时、平均带管时间、术后疼痛级数及复发情况均优于对照组（ P ＜0．05）。结论：内科胸腔镜手术疗法用于治疗自发性气胸可有效控制术中出血量，缩短住院时间，减少带管时间，降低术后疼痛级数，降低复发率，可作为治疗自发性气胸的首选疗法。
목적：탐토내과흉강경치료자발성기흉적효과、안전성급림상의의。방법：선택자발성기흉환자94례，수궤분성관찰조화대조조，매조47례，관찰조급여내과흉강경수술요법，대조조급여전통개흉수술요법，대량조환자술중출혈량、주원시간、평균대관시간、술후동통급수이급복발（1년내）정황진행대비。결과：관찰조술중출혈량、주원용시、평균대관시간、술후동통급수급복발정황균우우대조조（ P ＜0．05）。결론：내과흉강경수술요법용우치료자발성기흉가유효공제술중출혈량，축단주원시간，감소대관시간，강저술후동통급수，강저복발솔，가작위치료자발성기흉적수선요법。
Objective:To investigate the curative effect, safety and clinical significance of medical thoracoscopy in the treatment of spontane-ous pneumothorax.Method:94 patients with spontaneous pneumothorax were randomly divided into the observation group and the control group , 47 patients in each group.The former was given the surgical therapy of medical thoracoscopy and the latter the surgical therapy of conventional thora-cotomy, with the intraoperative blood loss, hospital stays, average dwelling time of drainage tube, postoperative pain degree and the situation of re-currence ( within 1 year) compared in the two groups.Results:The intraoperative blood loss, hospital stays, average dwelling time of drainage tube, postoperative pain degree and the situation of recurrence in the observation group were significantly better than those in the control group ( P<0.05).Conclusion:Medical thoracoscopy can be the initial therapy in the treatment of spontaneous pneumothorax, as a result of effective con-trolling for intraoperative blood loss, shortening hospital stays, decreasing the dwelling time of drainage tube, reducing the degree of pain and lower-ing the recurrence rate.