中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
34期
36-37
,共2页
胸腔镜手术%二孔法%自发性气胸%肺大疱
胸腔鏡手術%二孔法%自髮性氣胸%肺大皰
흉강경수술%이공법%자발성기흉%폐대포
Thoracic surgery%Thoracoscope operation%Spontaneous pneumothorax%Pulmonary bullae
目的：探讨电视胸腔镜下“二孔法”治疗原发性自发性气胸的可行性。方法：收治原发性自发性气胸患者(PSP)79例，36例行胸腔镜二孔法肺大疱切除术(观察组)，43例行胸腔镜辅助小切口(VAMT)肺大疱切除术(对照组)，比较两组的治疗效果。结果：术后总引流量、术后胸腔置管时间、术后住院时间、术后镇痛药物用量，观察组少于对照组(P＜0.05)。结论：“胸腔镜二孔法”治疗原发性自发性气胸安全、可靠。
目的：探討電視胸腔鏡下“二孔法”治療原髮性自髮性氣胸的可行性。方法：收治原髮性自髮性氣胸患者(PSP)79例，36例行胸腔鏡二孔法肺大皰切除術(觀察組)，43例行胸腔鏡輔助小切口(VAMT)肺大皰切除術(對照組)，比較兩組的治療效果。結果：術後總引流量、術後胸腔置管時間、術後住院時間、術後鎮痛藥物用量，觀察組少于對照組(P＜0.05)。結論：“胸腔鏡二孔法”治療原髮性自髮性氣胸安全、可靠。
목적：탐토전시흉강경하“이공법”치료원발성자발성기흉적가행성。방법：수치원발성자발성기흉환자(PSP)79례，36례행흉강경이공법폐대포절제술(관찰조)，43례행흉강경보조소절구(VAMT)폐대포절제술(대조조)，비교량조적치료효과。결과：술후총인류량、술후흉강치관시간、술후주원시간、술후진통약물용량，관찰조소우대조조(P＜0.05)。결론：“흉강경이공법”치료원발성자발성기흉안전、가고。
Objective:To explore the feasibility of video assisted thoracic surgery with two hole in the treatment of primary spontaneous pneumothorax.Methods:79 patients with primary spontaneous pneumothorax(PSP) were selected,36 cases were treated by thoracoscopic two hole method for pulmonary bullae resection(the observation group),43 cases were treated by thoracoscope assisted minithoracotomy(VAMT) for pulmonary bullae resection(the control group),we compared the treatment effect of two groups.Results:In the observation group,the total flow rate after operation,the time of postoperative chest tube insertion,the length of hospital stay and postoperative analgesic dosage were less than those of the control group(P<0.05). Conclusion:Video assisted thoracic surgery with two hole in the treatment of primary spontaneous pneumothorax was safe and reliable.
