CAJ | 학술논문

目的：探讨改良双孔胸腔镜在治疗自发性气胸的应用效果。方法分析96例接受胸腔镜手术的自发性气胸患者，其中23例接受了改良双孔胸腔镜手术（改良组），73例接受了标准双孔或三孔胸腔镜手术（标准组）；主要分析指标包括手术时间、术中出血量、术后住院时间、术后置管时间和术后疼痛评分。结果改良组和标准组的患者在手术时间[（50．0±4．1）vs（51．4±4．0）， P＝0．327]、术中出血量[（43．2±6．7）vs（46．4±6．9）， P＝0．058]、术后住院时间[（6．0±1．4）vs（6．6±1．4）， P＝0．122]、术后置管时间[（4．5±1．1）vs（4．8±1．1），P＝0．377]等方面差异无统计学意义，但改良组的术后疼痛评分显著低于标准组（P＝0．002）。结论相比标准胸腔镜，改良胸腔镜治疗自发性气胸切口更加美观、术后疼痛更小。
목적：탐토개량쌍공흉강경재치료자발성기흉적응용효과。방법분석96례접수흉강경수술적자발성기흉환자，기중23례접수료개량쌍공흉강경수술（개량조），73례접수료표준쌍공혹삼공흉강경수술（표준조）；주요분석지표포괄수술시간、술중출혈량、술후주원시간、술후치관시간화술후동통평분。결과개량조화표준조적환자재수술시간[（50．0±4．1）vs（51．4±4．0）， P＝0．327]、술중출혈량[（43．2±6．7）vs（46．4±6．9）， P＝0．058]、술후주원시간[（6．0±1．4）vs（6．6±1．4）， P＝0．122]、술후치관시간[（4．5±1．1）vs（4．8±1．1），P＝0．377]등방면차이무통계학의의，단개량조적술후동통평분현저저우표준조（P＝0．002）。결론상비표준흉강경，개량흉강경치료자발성기흉절구경가미관、술후동통경소。
Objective To investigate effects of the limited two-port video assisted thoracic surgery on treatment of spontaneous pneumothorax .Methods A retrospective analysis of 96 patients with spontaneous pneumothorax who underwent video assisted thoracic surgery was conducted in the present study , in which 23 cases underwent the limited two-port video assisted thoracic surgery while 73 cases treated with the standard three-port video assisted thoracic surgery or the standard two-port video assisted thoracic surgery .The mean operation time , mean intraoperative blood loss and average postoperative hospital stay , average postoperative chest tube duration and postoperative pain rating were analyzed .Results Though no statistically significant difference existed in the mean operation time [(50.0 ±4.1)vs(51.4 ±4.0), P=0.327], mean intraoperative blood loss [(43.2 ±6.7)vs(46.4 ±6.9), P=0.058]average postoperative hospital stay[(6.0 ±1.4)vs(6.6 ±1.4), P=0.122], average postoperative chest tube duration [(4.5 ±1.1)vs(4.8 ±1.1),P=0.377] between the two group, however, the postoperative pain scores in the limited two-port video assisted thoracic sur-gery group were significantly lower than those in the traditional video assisted thoracic surgery group (P=0.002).Conclusion There is better cosmetic effect , and lower grade postoperative pain in the limited two-port video assisted thoracic surgery .