微小单操作孔胸腔镜技术治疗自发性气胸的手术方法及效果评价

目的：探讨微小单操作孔电视胸腔镜手术(VATS)技术治疗自发性气胸的手术方法并阐明其临床优势。方法：选择96例自发性气胸并行手术治疗的病例进行回顾分析，根据所在医疗组及所行术式不同分为微小单操作孔(MVATS)组23例（采用微小单操作孔胸腔镜手术）和传统胸腔镜（VATS）组73例（采用双操作孔或传统单操作孔VATS），对2组患者的平均手术时间、平均术中出血量、平均术后住院时间、平均术后胸引管留置时间及术后疼痛分级方面进行对比分析。结果：MVATS组患者平均手术时间、平均术中出血量、平均术后住院时间、平均术后胸引管留置时间与VATS组比较差异无统计学意义（P>0.05），术后疼痛发生率低于VATS组(P<0.05)。结论：微小单操作孔VATS治疗自发性气胸临床疗效确切，能够有效降低术后疼痛发生率，外形更为美观。

Evaluation on curative effect of minimal-single-operating-port thoracoscopy in treatment of spontaneous pneumothorax

Objective To explore the method of minimal-single-operating-port video assisted thoracic surgery(VATS) in treatment of spontaneous pneumothorax and to clarify its clinical advantages.Methods Retrospective analysis of 96 patients with spontaneous pneumothorax underwent VATS was performed.The patients were divided into two groups according to different medical treatment groups and the different surgical method:minimal-single-operating-port VATS(MVATS) group including 23 cases treated by minimal-single-operating-port VATS approach and conventional VATS group including 73 cases treated by two-operating-port VATS or conventional single-operating-port VATS.The mean operation time,mean intraoperative blood loss and average postoperative hospital stay,average postoperative chest tube duration and postoperative pain grades of the patients in two groups were analyzed and compared.Results The mean intraoperative blood loss,average postoperative hospital stay,and average postoperative chest tube duration had no significant difference between MVATS group and VATS group(P>0.05);however,the incidence of postoperative pain in MVTS group was significantly lower than that in VATS group(P<0.05).Conclusion Compared with two-operating-port VATS and conventional single-operating-port VATS,minimal-single-operating-port VATS has the similar clinical efficacy and better cosmetic result,and reduces the postoperative pain effectively in treatment of spontaneous pneumothorax.