CAJ | 학술논문

目的：对于采用传统的开胸手术法和电视胸腔镜法进行创伤性血气胸治疗的效果进行比较。方法：回顾性分析我院就诊的创伤性血气胸患者70例。分别采用电视胸腔镜法和开胸手术法治疗患者，记录两组方案治疗患者的住院、手术、胸腔引流等时间，同时对出血量及止痛药用量进行记录。结果：两组患者治疗有效率均良好，无显著性差异。电视胸腔镜手术组中患者的手术时间、住院时间、胸腔引流时间等均优于开胸手术法，且具有显著性差异（P＜0.05）。结论：电视胸腔镜法具有有效、微创、安全可行的特点，值得临床推广。
목적：대우채용전통적개흉수술법화전시흉강경법진행창상성혈기흉치료적효과진행비교。방법：회고성분석아원취진적창상성혈기흉환자70례。분별채용전시흉강경법화개흉수술법치료환자，기록량조방안치료환자적주원、수술、흉강인류등시간，동시대출혈량급지통약용량진행기록。결과：량조환자치료유효솔균량호，무현저성차이。전시흉강경수술조중환자적수술시간、주원시간、흉강인류시간등균우우개흉수술법，차구유현저성차이（P＜0.05）。결론：전시흉강경법구유유효、미창、안전가행적특점，치득림상추엄。
Objective:To compare with the traditional open chest operation method and the method of traumatic hemopneumothorax by video-assisted thoracoscopic treatment effect.Methods:A retrospective analysis of 70 patients in our hospital for treatment of traumatic hemopneumothorax cases. Respectively VATS and thoracotomy method method to treat patients,recording two regimens hospitalization,surgery,in patients with pleural drainage and other times, while the amount of bleeding and the amount of pain medicine for recording.Results:The two groups of patients treatment effective rate were good,no significant difference.The operation time, patients with thoracoscopic operation in the group hospitalization time, chest drainage time was better than open chest operation method, and the difference was significant (P<0.05).Conclusion:Video assisted thoracoscopic method has the characteristics of minimally invasive,effective,safe and feasible,is worth the clinical promotion.