蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2015年
6期
721-722,726
,共3页
吴志勇%戴辉水%孙荣贵%卢海彬%姬德宇%陆方
吳誌勇%戴輝水%孫榮貴%盧海彬%姬德宇%陸方
오지용%대휘수%손영귀%로해빈%희덕우%륙방
气胸%电视胸腔镜%单操作孔
氣胸%電視胸腔鏡%單操作孔
기흉%전시흉강경%단조작공
pneumothorax%video-assisted thoracoscopy%single utility hole
目的::探讨单操作孔电视胸腔镜治疗自发性气胸的临床应用价值。方法:对33例自发性气胸患者(观察组)使用单操作孔电视胸腔镜手术,并选取同期采用三孔胸腔镜的自发性气胸患者23例(对照组),对比2组的手术时间、术中出血量、手术费用、术后胸管拔除时间、术后并发症等。结果:观察组术中出血量和手术费用均少于对照组(P<0.05);2组手术时间、术后胸管拔管时间、术后并发症及住院时间差异均无统计学意义(P>0.05~P=1.000)。结论:单操作孔电视胸腔镜能够顺利完成不需要复杂操作的胸腔镜手术,没有增加手术时间,符合微创的理念,值得在微创胸腔外科中推广。
目的::探討單操作孔電視胸腔鏡治療自髮性氣胸的臨床應用價值。方法:對33例自髮性氣胸患者(觀察組)使用單操作孔電視胸腔鏡手術,併選取同期採用三孔胸腔鏡的自髮性氣胸患者23例(對照組),對比2組的手術時間、術中齣血量、手術費用、術後胸管拔除時間、術後併髮癥等。結果:觀察組術中齣血量和手術費用均少于對照組(P<0.05);2組手術時間、術後胸管拔管時間、術後併髮癥及住院時間差異均無統計學意義(P>0.05~P=1.000)。結論:單操作孔電視胸腔鏡能夠順利完成不需要複雜操作的胸腔鏡手術,沒有增加手術時間,符閤微創的理唸,值得在微創胸腔外科中推廣。
목적::탐토단조작공전시흉강경치료자발성기흉적림상응용개치。방법:대33례자발성기흉환자(관찰조)사용단조작공전시흉강경수술,병선취동기채용삼공흉강경적자발성기흉환자23례(대조조),대비2조적수술시간、술중출혈량、수술비용、술후흉관발제시간、술후병발증등。결과:관찰조술중출혈량화수술비용균소우대조조(P<0.05);2조수술시간、술후흉관발관시간、술후병발증급주원시간차이균무통계학의의(P>0.05~P=1.000)。결론:단조작공전시흉강경능구순리완성불수요복잡조작적흉강경수술,몰유증가수술시간,부합미창적이념,치득재미창흉강외과중추엄。
Objective:To investigate the clinical application value of single utility hole video-assisted thoracoscopic operation in the treatment of spontaneous pneumothorax. Methods:Fifty-five patients with spontaneous pneumothorax were treated with single utility hole video-assisted thoracoscopic operation ( observation group, 33 cases ) and three utility holes video-assisted thoracoscopic operation (control group,23 cases),respectively. The operation time,bleeding volume,operation cost,and postoperative extubation time and complications between two groups were compared. Results:The bleeding volume and operation cost of observation group were lower than the control group(P<0. 05),the differences of the operation time,postoperative extubation time and complications between two groups were not statistically significant(P>0. 05 to P=1. 000). Conclusions:The single utility hole video-assisted thoracoscopic operation is single,and do not increase the operation time, which is consistent with the concept of minimally invasive, and worth promoting in minimally invasive thoracic surgery.