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目的:探讨电视胸腔镜手术在治疗自发性气胸中的临床疗效。方法:回顾性分析2009年6月至2010年12月期间在我院治疗的自发性气胸患者169例,将其随机分为治疗组83例与对照组86例。对照组患者采用传统的开胸手术治疗方案,治疗组患者给予电视胸腔手术治疗,对两组患者的各项指标与临床疗效进行对比分析。结果:治疗组在手术时间、术中出血量以及切口长度与对照组相比显著减少,差异有统计学意义(P<0.05)。治疗组患者的复发率略低于对照组,但差异无统计学意义(P>0.05),而引流管放置时间与患者住院时间明显少于对照组,差异有统计学意义(P<0.05)。结论:采用电视胸腔镜手术治疗自发性气胸,患者复发率低、住院时间短、恢复快,是安全、有效的治疗手段,值得临床应用推广。
Objective: To investigate the clinical effect of video-assisted thoracoscopic surgery in the treatment of spontaneous pneumothorax. Methods: A total of 169 spontaneous pneumothorax patients treated in our hospital from June 2009 to December 2010 were retrospectively analyzed. They were randomly divided into treatment group (83 cases) and control group (86 cases). Patients in the control group were treated by traditional thoracotomy. Patients in the treatment group were treated with video-assisted thoracic surgery. Contrast analysis was made between the two groups of indicators and clinical efficacy. Results: The operation time, intraoperative blood loss and incision length were significantly reduced in the treatment group compared with the control group (P <0.05). The recurrence rate of the treatment group was slightly lower than that of the control group, but the difference was not statistically significant (P> 0.05), while the drainage tube placement time and hospitalization time were significantly less than the control group, the difference was statistically significant (P <0.05). Conclusion: The video-assisted thoracoscopic surgery for the treatment of spontaneous pneumothorax patients with low recurrence rate, short hospital stay, fast recovery, is safe and effective means of treatment, it is worth promoting the clinical application.