胸腔镜辅助腋下小切口和传统开胸手术治疗自发性气胸临床分析

【目的】总结比较胸腔镜辅助腋下小切口和传统开胸手术治疗自发性气胸的治疗效果。【方法】对比分析我院2006年6月-2011年12月手术治疗的53例自发性气胸,手术方式选择按入院顺序随机分为2组,胸腔镜辅助腋下小切口组(A组)27例,传统开胸手术组(B组)26例。对比两组术前基本情况及治疗结果。【结果】胸腔镜辅助腋下小切口手术组在手术时间、手术切口长度,术后住院时间较传统开胸手术组明显减低,且术后4周用力肺活量(FVC)增高,两组比较有统计学差异(P<0.05)。【结论】胸腔镜辅助腋下小切口手术治疗自发性气胸安全可靠,且较传统开胸手术创伤小、恢复快。

Clinical analysis of video-assisted thoracoscopy with axillary small incision and conventional thoracotomy surgery in the treatment of spontaneous pneumothorax

【Objective】To compare the clinical effect of video-assisted thoracoscopy with axillary small incision surgery and conventional thoracotomy surgery in the treatment of spontaneous pneumothorax【.Methods】A total of 53 patients were enrolled in this study.Among them 27 patients were treated with video-assisted thoracoscopy with small incision surgery（A group）,26 with conventional thoracotomy surgery（B group）.Operation times,incision size and hospitalization times were recorded and compared.【Results】Operation times,size of surgical incision and hospitalization times of video-assisted thoracoscopy with axillary small incision surgery group were significant lower than conventional thoracotomy surgery group（P 0.05）.【Conclusion】Using video-assisted thoracoscopy with axillary small incision surgery to treat spontaneous pneumothorax is safe,with little damage and fast restoration.