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目的:研究电视胸腔镜手术(VATS)治疗创伤性血气胸的临床疗效及对血清超敏C反应蛋白(hs-CRP)及C反应蛋白(CRP)水平的影响,为临床治疗提供依据。方法:选取2005年11月到2015年11月我院收治疗的创伤性血气胸患者60例,根据手术方式将患者分为研究组和对照组,每组30例,研究组应用VATS治疗,对照组应用开胸手术治疗,比较两组手术时间、术中出血量、胸腔引流量、引流时间、住院时间以及并发症,并观察术前、术后第1天、第3天和术后1周血清中hs-CRP和CRP水平。结果:研究组手术时间、引流时间和住院时间均显著短于对照组,术中出血量和胸腔引流量显著少于对照组,比较差异具有统计学意义(P<0.05);研究组并发症发生率显著低于对照组,比较差异具有统计学意义(P<0.05);术后第1天两组hs-CRP显著升高,且对照组显著高于研究组,术后第3天两组CRP明显升高,对照组明显高于研究组,hs-CRP明显下降,且研究组低于对照组,术后1周两组hs-CRP均较术后1天明显下降,CRP较术后3天明显下降,比较差异具有统计学意义(P<0.05)。结论:VATS治疗创伤性血气胸手术时间短,对患者伤害小且并发症少,术后hs-CRP和CRP均不同程度增高,1周后开始降低。
Objective: To study the clinical efficacy of VATS in the treatment of traumatic hemopneumothorax and its effect on the levels of serum hs-CRP and CRP, so as to provide the basis for clinical treatment. Methods: Sixty patients with traumatic hemopneumothorax admitted to our hospital from November 2005 to November 2015 were selected and divided into study group and control group according to the way of operation. Each group included 30 patients. The study group was treated with VATS. The control group The patients underwent thoracotomy. The operation time, intraoperative blood loss, chest drainage, drainage time, hospitalization time and complications were compared between the two groups. The preoperative, postoperative day 1, postoperative day 3 and postoperative 1 week Serum hs-CRP and CRP levels. Results: The operation time, drainage time and hospitalization time in the study group were significantly shorter than those in the control group. The amount of bleeding and thoracic drainage in the study group were significantly less than those in the control group (P <0.05). The complication occurred in the study group (P <0.05). On the first postoperative day, the hs-CRP levels in both groups were significantly higher than those in the control group, and the levels of CRP in the control group were significantly higher than those in the study group Hs-CRP in the study group was significantly lower than that in the control group. The hs-CRP in the two groups after 1 week was significantly lower than that of the control group one day after surgery, and the CRP was significantly lower than that of the control group Significantly decreased compared with the difference was statistically significant (P <0.05). CONCLUSIONS: The VATS treatment of traumatic hematopoietic pneumothorax has a short operation time, less harm to patients and fewer complications. The hs-CRP and CRP levels increase to different degrees after operation and begin to decrease after one week.