论文部分内容阅读
目的探讨经胸腔镜手术治疗肺大泡破裂并发自发性气胸的效果。方法选取肺大泡破裂并发自发性气胸患者80例,随机分为两组,每组40例。对照组行传统开胸术,观察组行胸腔镜手术,比较两组治疗效果。结果观察组术中出血量、手术时间、住院时间少于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为5%,对照组为22.5%,观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论胸腔镜手术治疗肺大泡破裂并发自发性气胸,效果显著,患者疼痛轻、创伤小、恢复快,并发症发生率低。
Objective To investigate the effect of thoracoscopic surgery for the treatment of spontaneous pneumothorax with bulla rupture. Methods Eighty patients with ruptured bullous bullae complicated with spontaneous pneumothorax were selected and randomly divided into two groups (n = 40 in each group). The control group underwent traditional thoracotomy and the observation group underwent thoracoscopic surgery. The therapeutic effects were compared between the two groups. Results The intraoperative blood loss, operation time and hospital stay in the observation group were less than those in the control group, with significant difference (P <0.05). The complication rate was 5% in observation group and 22.5% in control group, and the complication rate in observation group was lower than that in control group (P <0.05). Conclusions Video-assisted thoracoscopic surgery for the treatment of spontaneous pneumothorax complicated by rupture of the bulla was effective in patients with less pain, less trauma, faster recovery and lower complication rate.