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目的:对比电视胸腔镜手术与传统开胸手术在胸外伤治疗中的效果。方法:将我院2006年2月至2012年2月间收治的胸外伤患者113例随机分为观察组56例及对照组57例,分别应用电视胸腔镜手术和传统开胸手术,比较两组的手术时间、术中出血量、术后引流量、术后引流时间、术后住院时间、术后并发症、术后疼痛的差异。结果:观察组的术中出血量、术后引流量、术后引流时间、术后住院时间、术后并发症的发生率、术后疼痛均明显较少于对照组(P<0.05);两组手术时间比较无显著性差异(P>0.05)。结论:在严格掌握指证前提下,电视胸腔镜手术治疗胸外伤比传统开胸手术的创伤小、并发症少、恢复较快。
Objective: To compare the effect of video-assisted thoracoscopic surgery and conventional thoracotomy in the treatment of thoracic trauma. Methods: Thirty-one patients with thoracic trauma admitted from February 2006 to February 2012 in our hospital were randomly divided into observation group (56 cases) and control group (57 cases). Video-assisted thoracoscopic surgery and conventional thoracotomy were performed. The operation time, intraoperative blood loss, postoperative drainage, postoperative drainage time, postoperative hospital stay, postoperative complications, postoperative pain differences. Results: The intraoperative blood loss, postoperative drainage volume, postoperative drainage time, postoperative hospital stay, incidence of postoperative complications and postoperative pain were significantly less in the observation group than in the control group (P <0.05); There was no significant difference in operation time between the two groups (P> 0.05). Conclusion: Under the premise of strictly grasping the evidence, the video-assisted thoracoscopic surgery is less invasive and has less complications than traditional thoracic surgery.