本文選題：創(chuàng)傷性血氣胸 + 電視胸腔鏡�。� 參考：《重慶醫(yī)學(xué)》2016年31期

【摘要】：目的比較開胸手術(shù)與電視胸腔鏡治療創(chuàng)傷性血氣胸的效果,分析電視胸腔鏡手術(shù)治療的可行性。方法對2009年2月至2015年2月該院收治的100例創(chuàng)傷性血氣胸患者資料進(jìn)行回顧性分析,其中45例患者采用開胸手術(shù)進(jìn)行治療(對照組);55例患者采用電視胸腔鏡手術(shù)進(jìn)行治療(觀察組)。比較兩組患者手術(shù)時間、住院時間、胸腔引流時間、應(yīng)用止痛藥時間及出血量,對兩組患者進(jìn)行隨訪,探討患者出現(xiàn)嚴(yán)重并發(fā)癥死亡情況。結(jié)果觀察組患者手術(shù)時間[(63.53±16.34)min]、住院時間[(10.34±3.25)d]、胸腔引流時間[(3.15±0.89)d]、應(yīng)用止痛藥時間[(5.24±1.45)d]及出血量[(535.45±150.11)mL]均明顯少于對照組[手術(shù)時間(112.66±27.28)min、住院時間(15.26±4.28)d、胸腔引流時間(5.89±1.78)d、應(yīng)用止痛藥時間(9.66±2.28)d及出血量(876.39±234.24)mL],差異有統(tǒng)計學(xué)意義(P0.05);觀察組患者術(shù)后切口感染、胸內(nèi)血塊機化、腹膜腔感染和復(fù)張性肺水腫等嚴(yán)重并發(fā)癥發(fā)生率(1.82%),與對照組(2.22%)無明顯差異,兩種手術(shù)方法在治療創(chuàng)傷性血氣胸方面均具有較高的安全性。結(jié)論創(chuàng)傷性血氣胸患者采用電視胸腔鏡手術(shù)治療手術(shù)時間短,能明顯縮短患者住院時間,減少術(shù)中出血量,有助于患者術(shù)后康復(fù),可行性較高。
[Abstract]:Objective to compare the effect of thoracotomy and video-assisted thoracoscopy in the treatment of traumatic hemopneumothorax and analyze the feasibility of video-assisted thoracoscopic surgery. Methods the data of 100 patients with traumatic hemopneumothorax from February 2009 to February 2015 were retrospectively analyzed. Among them, 45 patients were treated with thoracotomy (control group) and 55 patients were treated by video-assisted thoracoscopic surgery (observation group). The operative time, hospitalization time, chest drainage time, analgesic time and bleeding volume were compared between the two groups. Results the operative time [(63.53 鹵16.34) min], hospitalization time [(10.34 鹵3.25) d], thoracic drainage time [(3.15 鹵0.89) d], analgesic time [(5.24 鹵1.45) d] and bleeding volume [(535.45 鹵150.11) mL] in the observation group were significantly lower than those in the control group [(112.66 鹵27.28) min, (15.26 鹵4.28) d, (5.89 鹵1.78) d]. (9.66 鹵2.28) d and (876.39 鹵234.24) mL, the difference was statistically significant (P0.05). The incidence of severe complications such as intrathoracic blood clot, peritoneal cavity infection and retensible pulmonary edema (1.82%) was not significantly different from that of the control group (2.22%). The two surgical methods were of high safety in the treatment of traumatic hemopneumothorax. Conclusion the treatment of traumatic hemopneumothorax by video-assisted thoracoscopic surgery can shorten the time of hospitalization, reduce the amount of blood lost during operation, and help the patients recover after operation.
【作者單位】： 華中科技大學(xué)同濟(jì)醫(yī)學(xué)院附屬普愛醫(yī)院胸外科;
【分類號】：R655
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本文編號：2051619