CAJ | 학술논문

目的：探讨电视胸腔镜手术（VATS）在治疗胸部损伤中的疗效。方法：选取148例胸部损伤患者，按随机数字表法分为观察组和对照组，每组74例。观察组予胸腔镜治疗，对照组予传统方法治疗。对比两组患者的切口长度、引流量、引流时间、输血量以及术后第3天疼痛程度。结果：观察组切口长度显著短于对照组（P＜0．05）；输血量和引流量均显著少于对照组（P＜0．05）；术后第3天视觉模拟评分（VAS）低于对照组（P＜0．05）。结论：胸腔镜在胸部损伤治疗过程中有直观性强、创伤小、并发症少、恢复快的优势。
목적：탐토전시흉강경수술（VATS）재치료흉부손상중적료효。방법：선취148례흉부손상환자，안수궤수자표법분위관찰조화대조조，매조74례。관찰조여흉강경치료，대조조여전통방법치료。대비량조환자적절구장도、인류량、인류시간、수혈량이급술후제3천동통정도。결과：관찰조절구장도현저단우대조조（P＜0．05）；수혈량화인류량균현저소우대조조（P＜0．05）；술후제3천시각모의평분（VAS）저우대조조（P＜0．05）。결론：흉강경재흉부손상치료과정중유직관성강、창상소、병발증소、회복쾌적우세。
Objective:To investigate the clinical efficacy of video-assisted thoracic surgery (VATS)in the diagnosis and treatment of chest trauma .Methods:148 cases were randomly selected and divided into the observation group(n=74) and control group(n= 74)by random number table .The observation group was treated with VATS and the control group was treated with traditional methods .Incision length ,blood transfusion ,closed drainage time ,drainage ,after the first three days of pain and other related indicators were compared between the two groups .Results:Incision length of the observation group was significantly shorter than the control group(P< 0 .05) .Amount of blood transfusion and drainage of the observation group were significantly less than the control group( P<0 .05) .In the observation group patients after the first three days VAS score was lower than the control group(P<0 .05) .Conclusion:VATS has the advantages of intuitive and strong ,trauma ,pain ,faster recovery ,shorter hospital stay ,less closed thoracic drainage ,fe-wer complications and so on in chest injury diagnosis and treatment .