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目的分析微创手术与开胸手术治疗创伤性血气胸患者的效果,探讨更加有效的治疗方式。方法选择我院于2014年6月~2016年6月期间收治的108例创伤性血气胸患者作为研究对象,随机分为两组各54例,将实施微创手术的患者作为观察组,将实施开胸手术治疗的患者作为对照组,对两组患者的术中出血量、手术时间、引流时间、引流量及并发症发生率进行比较。结果观察组患者手术时间、术中出血量、引流时间及引流量均显著低于对照组,数据比较差异具有统计学意义(P<0.05);观察组患者并发症发生率为5.56%,对照组患者并发症发生率为20.37%,数据比较差异具有统计学意义(P<0.05)。结论与开胸手术效果相比,对创伤性血气胸患者采用微创手术治疗能够有效缩短手术时间和降低术中出血量,且安全性更好,具有显著的临床价值。
Objective To analyze the effect of minimally invasive surgery and thoracotomy on patients with traumatic pneumothorax and explore more effective treatment. Methods A total of 108 patients with traumatic hemopneumothorax admitted from June 2014 to June 2016 in our hospital were randomly divided into two groups of 54 patients. Patients who underwent minimally invasive surgery were selected as observation group Thoracotomy patients as control group, the two groups of patients with intraoperative blood loss, operation time, drainage time, drainage and complication rates were compared. Results The operation time, intraoperative blood loss, drainage time and drainage volume in the observation group were significantly lower than those in the control group (P <0.05). The incidence of complications in the observation group was 5.56% The complication rate of patients was 20.37%, the difference was statistically significant (P <0.05). Conclusion Compared with the results of thoracotomy, minimally invasive surgical treatment of traumatic hemopneumothorax patients can effectively shorten the operation time and reduce the amount of intraoperative blood loss, and the safety is better, with significant clinical value.