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目的研究分析为创伤性血气胸患者实施传统开胸术与胸腔镜术治疗的效果。方法在我院治疗的创伤性血气胸患者中选取60例作为研究对象,将其中30例作为对照组,另外30例作为观察组。对照组实施传统开胸术治疗,观察组实施胸腔镜术治疗,对比两组患者的手术需时、术中出血量、引流时间、引流量以及恢复时间等手术情况,以及并发症的发生情况。结果两组患者的并发症发生率比较,差异较小(P>0.05);但观察组手术需时、引流时间以及恢复时间,均短于对照组;术中出血量以及引流量,均少于对照组,差异均显著(P<0.05)。结论创伤性血气胸患者实施胸腔镜术治疗,能够效改善手术情况,加快术后恢复,治疗效果较佳。
Objective To study the effect of traditional thoracotomy and thoracoscopic surgery for patients with traumatic hemopneumothorax. Methods Totally 60 cases of traumatic hemopneumothorax treated in our hospital were selected as the research object, of which 30 cases were used as the control group and the other 30 cases as the observation group. The control group was treated by conventional thoracotomy. The observation group was treated by thoracoscopic surgery. The operation time, intraoperative blood loss, drainage time, drainage volume and recovery time were compared between the two groups. Complications were also observed. Results The complication rates of the two groups were significantly different (P> 0.05). However, the operative time, drainage time and recovery time in the observation group were shorter than those in the control group. The blood loss and drainage were both less than Control group, the difference was significant (P <0.05). Conclusion Thoracoscopic surgery in patients with traumatic hemopneumothorax can effectively improve the operation and accelerate the recovery after operation, and the treatment effect is better.