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目的探讨微创手术治疗创伤性血气胸的效果。方法选取钦州市第一人民医院2013年8月—2015年8月收治的创伤性血气胸患者100例。依据手术方式的不同分为试验组(n=40)与对照组(n=60)。试验组采用微创手术方式,对照组采用开胸手术方式。比较两组患者的治疗效果、切口长度、术中出血量、手术时间及术后止痛药物使用量、引流时间及引流量、住院时间、并发症发生率及C反应蛋白(CRP)水平。结果两组患者治疗有效率比较,差异无统计学意义(P>0.05);试验组患者手术切口长度短于对照组,术中出血量少于对照组,手术时间短于对照组,差异有统计学意义(P<0.05)。试验组患者术后止痛药使用量少于对照组,引流时间短于对照组,引流量少于对照组,差异有统计学意义(P<0.05)。试验组患者住院时间短于对照组,并发症发生率低于对照组,术后第1、3、5天CRP水平均低于对照组,差异有统计学意义(P<0.05)。结论微创手术与开胸手术治疗创伤性血气胸疗效相当,但微创手术手术时间短、创伤小、疼痛轻及住院时间短,值得在临床中推广应用。
Objective To investigate the effect of minimally invasive surgery on traumatic hemothorax. Methods 100 cases of traumatic hemopneumothorax were treated in Qinzhou First People’s Hospital from August 2013 to August 2015. According to the different surgical methods, the experimental group (n = 40) and the control group (n = 60). The experimental group was treated by minimally invasive surgery and the control group by thoracotomy. The curative effect, incision length, intraoperative blood loss, operation time and postoperative analgesic drug usage, drainage time and drainage, hospital stay, complication rate and C-reactive protein (CRP) levels were compared between the two groups. Results There was no significant difference in the treatment efficiency between the two groups (P> 0.05). The length of the surgical incision in the experimental group was shorter than that in the control group, the amount of bleeding during operation was less than that in the control group, and the operation time was shorter than that in the control group Significance (P <0.05). The patients in trial group had less analgesic drugs than those in control group, the drainage time was shorter than that in control group, and drainage volume was less than that in control group (P <0.05). The hospitalization time of trial group was shorter than that of control group, and the complication rate was lower than that of control group. The CRP levels on the 1st, 3rd and 5th postoperative days were lower than those of the control group (P <0.05). Conclusion Minimally invasive surgery and thoracotomy are effective in treating traumatic hemopneumothorax. However, the minimally invasive surgery has the advantages of short operation time, less trauma, less pain and shorter hospital stay, which is worth popularizing in clinic.