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目的:研究对外伤性血气胸患者采用电视胸腔镜手术进行临床诊疗的效果。方法:随机抽选2014年9月至2015年9月在本院外伤性血气胸患者92例。按照数字表法将患者平均划分成对照组和观察组两组各46例,分别采用传统手术和电视胸腔镜手术进行临床治疗,并对两组患者的临床诊疗情况进行比较。结果:经过临床分析,观察组患者在手术时间、术中出血量、胸管引流时间、胸管引流量、术后疼痛评分以及住院时间方面均显著低于对照组患者,差异具有统计学意义(P<0.05)。且治疗总有效率95.65%较对照组82.61%显著偏高,并发症发生率6.52%较对照组21.74%明显偏低,组间比较,差异具有统计学意义(P<0.05)。结论:采用电视胸腔镜手术对外伤性血气胸患者进行临床诊治,其创伤小、时间短、疼痛低、恢复快、疗效好、并发症少。
Objective: To study the clinical effect of video-assisted thoracoscopic surgery on patients with traumatic hemopneumothorax. Methods: 92 patients with traumatic hemopneumothorax were randomly selected from September 2014 to September 2015 in our hospital. According to the digital table method, the patients were equally divided into control group and observation group, 46 cases in each group. The patients were treated by traditional operation and video-assisted thoracoscopic surgery respectively. The clinical diagnosis and treatment were compared between the two groups. Results: After clinical analysis, the observation group was significantly lower than the control group in the operation time, intraoperative blood loss, chest tube drainage time, chest tube drainage, postoperative pain score and hospital stay, the difference was statistically significant ( P <0.05). The total effective rate was 95.65%, which was significantly higher than 82.61% of the control group. The complication rate was 6.52%, which was significantly lower than that of the control group (21.74%). There was significant difference between the two groups (P <0.05). Conclusion: Video-assisted thoracoscopic surgery in the diagnosis and treatment of traumatic hemopneumothorax patients with small trauma, short time, low pain, quick recovery, good curative effect and few complications.