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目的比较胸腔镜手术与开胸手术治疗自发性气胸的临床效果。方法选择2013年5月—2016年6月收治的100例自发性气胸患者作为研究对象,随机分为胸腔镜组和开胸组各50例,胸腔镜组施以胸腔镜手术以,开胸组施以开胸手术治疗,比较两组临床疗效,数据进行统计学处理,P<0.05为差异有统计学意义。结果胸腔镜组手术时间和住院时间均短于开胸组,术中出血量少于对照组,比较差异均有统计学意义(t=15.412、20.556、9.026,均P<0.05);胸腔镜组术后漏气、切口感染、胸腔积液以及肺不张等并发症发生率均低于开胸组,比较差异均有统计学意义(χ~2=4.396、4.433、4.396、6.658,均P<0.05)。结论与传统开胸手术相比,胸腔镜手术对于治疗自发性气胸的临床效果更显著,相应创伤小,患者恢复较快,具有较高的临床应用价值。
Objective To compare the clinical effects of thoracoscopic surgery and thoracotomy for the treatment of spontaneous pneumothorax. Methods A total of 100 patients with spontaneous pneumothorax admitted from May 2013 to June 2016 were selected and randomly divided into thoracoscopic group and thoracotomy group of 50 cases. Thoracoscopic group was treated by thoracoscope. Underwent thoracotomy, compared the clinical efficacy of the two groups, the data were statistically analyzed, P <0.05 for the difference was statistically significant. Results The operation time and hospital stay in thoracoscopic group were shorter than those in thoracotomy group, and the amount of bleeding during operation was less than that in control group (t = 15.412, 20.556, 9.026, all P <0.05) Postoperative complications such as atelectasis, incisional infection, pleural effusion and atelectasis were lower than those in thoracotomy group (χ ~ 2 = 4.396,4.433,4.396,6.658, P < 0.05). Conclusion Compared with the traditional thoracotomy, thoracoscopic surgery for the treatment of spontaneous pneumothorax clinical effect is more significant, the corresponding trauma, the patient recovered quickly, with high clinical value.