胸腔镜腋下小切口辅助对复发性自发性气胸的疗效观察

Therapeutic efficacy observation of video-assisted minithoracotomy for palindromia spontaneous pheumthorax

关键词:  胸腔镜  胸腔镜腋下小切口辅助  开胸手术  气胸

Key words:  video-assisted thoracoscopic surgery  video-assisted minithoracotomy  thoraeotomy  pheumthora

摘要:

［目的］观察胸腔镜腋下小切口辅助对复发性自发性气胸的治疗效果，并与常规开胸、胸腔镜进行比较，为临床手术方法的选择提供理论根据。［方法］74例复发性自发性气胸患者，其中胸腔镜腋下小切口辅助手术组（VAMT组）28例，胸腔镜手术组（VATS组）24例，开胸手术组（CH组）22例。对相关治疗效果指标进行分析。［结果］VAMT组手术时间小于VATS组及CH组（P<0.05）；术后引流量、疼痛评分、术后住院时间、置管时间、住院总费用与VSTS组之间差异无显著性意义；CH组各项指标均差于VAMT与VATS组（P<0.05）。［结论］VAMT可达到与VATS同样的治疗效果，且具备手术时间短的特点，可广泛应用于复发性自发性气胸患者。

Abstract:

［Objective］Observe the therapeutic efficacy of video-assisted minithoracotomy (VAMT) for palindromia spontaneous pheumthorax and compare VAMT with traditional chest surgery (CH),and video-assisted thoracoscopic surgery (VATS) to provide a guideline for clinical operation.［Methods］Analyzing correlated therapeutic efficacy indexes of 74 palindromia spontaneous pheumthorax patients,in which 28 patients received VAMT,24 patients received VATS,and 22 patients received CH.［Results］Operation time in VAMT group was shorter than that in both CH and VATS groups(P<0.05).No statistically difference existed in drainage volume,pain score and length of stay after surgery,time of postoperative drainage and total cost in VAMT and VATS groups.All of the therapeutic efficacy indexes in CH group were worse than these in both VAMT and VATS groups(P<0.05).［Conclusion］VAMT is as effective as VATS in the treatment of spontaneous pneumothorax,whereas it can achieve a shorter operation time. Palindromia spontaneous pheumthorax patients can be treated well with VAMT.